Provider Demographics
NPI:1881985190
Name:HUTCHISON, MICHELLE LYNN (LMSW)
Entity type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:LYNN
Last Name:HUTCHISON
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 1:308 SOUTH MAUMEE STREET
Mailing Address - Street 2:
Mailing Address - City:TECUMSEH
Mailing Address - State:MI
Mailing Address - Zip Code:49286-2033
Mailing Address - Country:US
Mailing Address - Phone:517-423-6889
Mailing Address - Fax:517-423-6890
Practice Address - Street 1:308 SOUTH MAUMEE STREET
Practice Address - Street 2:
Practice Address - City:TECUMSEH
Practice Address - State:MI
Practice Address - Zip Code:49286-2033
Practice Address - Country:US
Practice Address - Phone:517-423-6889
Practice Address - Fax:517-423-6890
Is Sole Proprietor?:No
Enumeration Date:2011-04-21
Last Update Date:2020-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801092362104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker