Provider Information for 1326425372
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JOSEPH EMANUEL HINES LMSW
Sex: Male
NPI: 1326425372
Last Updated: 2015-04-29
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1326425372 | ||||||||||||
| Enumeration Date | 2015-04-29 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 148 S MAIN ST STE 103C MOUNT CLEMENS, MI 48043-7900 United States Phone: 248-579-9791 | Fax: | ||||||||||||
| Primary Practice Address | 148 S MAIN ST STE 103C MOUNT CLEMENS, MI 48043-7900 United States Phone: 248-579-9791 | Fax: | ||||||||||||
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