| NPI | 1184951782 |
|---|---|
| Former Name | MARCELLE N DODGE-HASBROUCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 3040-123) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 1232-132) |
| Enumeration Date | 2009-11-03 |
| Last Update Date | 2017-07-21 |