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General NPI Number Information
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NPI Number | 1023541612
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Entity Type | Organization
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Legal Business Name | BARBARA W. GUSTIN, LMSW, LLC
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Dates
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Enumeration Date | 04/10/2017
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Last Update Date | 02/20/2024
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Provider Practice Location Address
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Address Line | 2001 HUDSON AVE
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City | KALAMAZOO
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State | MI
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Zip | 49008-1889
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Country | US
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Telephone | 269-352-6644
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Fax |
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Provider Business Mailing Address
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Address Line | 2750 BRONSON BLVD
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City | KALAMAZOO
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State | MI
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Zip | 49008-2361
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Country | US
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Telephone | 269-352-6644
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BARBARA GUSTIN
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Credential | L.M.S.W.
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Telephone | 269-352-6644
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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 |
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License Number State |
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