Provider Demographics
NPI:1861422925
Name:HATCHER, MARILYN (LMSW)
Entity type:Individual
Prefix:
First Name:MARILYN
Middle Name:
Last Name:HATCHER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9862 GOFF RD
Mailing Address - Street 2:
Mailing Address - City:TEMPERANCE
Mailing Address - State:MI
Mailing Address - Zip Code:48182-9317
Mailing Address - Country:US
Mailing Address - Phone:734-241-4851
Mailing Address - Fax:734-241-6552
Practice Address - Street 1:214 E ELM AVE
Practice Address - Street 2:STE 112
Practice Address - City:MONROE
Practice Address - State:MI
Practice Address - Zip Code:48162-2678
Practice Address - Country:US
Practice Address - Phone:734-242-4673
Practice Address - Fax:734-242-4676
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-04
Last Update Date:2022-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010634951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical