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General NPI Number Information
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NPI Number | 1013680339
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Entity Type | Individual
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Provider Name | GABRIELA MARITA VEGA BRAVO SOCIAL WORK
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Gender | Female
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Dates
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Enumeration Date | 08/02/2021
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 110 SOUTH THIRD STREET SUITE 120
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City | SAINT CLAIR
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State | MI
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Zip | 48079-5346
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Country | US
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Telephone | 810-294-1230
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Fax |
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Provider Business Mailing Address
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Address Line | 110 S 3RD ST STE 120
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City | SAINT CLAIR
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State | MI
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Zip | 48079-5369
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Country | US
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Telephone | 810-294-1203
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 6801119460
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801119460
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License Number State | MI
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