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General NPI Number Information
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NPI Number | 1073248993
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Entity Type | Organization
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Legal Business Name | KATELIN ZYLKA LMSW, PLLC
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Dates
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Enumeration Date | 07/24/2022
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Last Update Date | 12/28/2022
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Provider Practice Location Address
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Address Line | 39325 PLYMOUTH RD STE 202
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City | LIVONIA
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State | MI
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Zip | 48150-4531
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Country | US
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Telephone | 734-404-5835
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Fax |
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Provider Business Mailing Address
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Address Line | 16918 COMSTOCK ST
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City | LIVONIA
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State | MI
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Zip | 48154-1608
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Country | US
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Telephone | 248-892-9497
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KATELIN ZYLKA
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Credential | LMSW
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Telephone | 248-892-9497
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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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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