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General NPI Number Information
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NPI Number | 1073478004
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Entity Type | Organization
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Legal Business Name | SILVER FERN THERAPY PLLC
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Dates
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Enumeration Date | 12/22/2025
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Last Update Date | 12/22/2025
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Provider Practice Location Address
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Address Line | 4149 E FARRAND RD
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City | CLIO
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State | MI
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Zip | 48420-9131
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Country | US
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Telephone | 248-841-8141
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Fax |
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Provider Business Mailing Address
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Address Line | 4149 E FARRAND RD
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City | CLIO
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State | MI
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Zip | 48420-9131
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Country | US
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Telephone | 248-841-8141
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JENNIFER SKWIRSK
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Credential | LLC
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Telephone | 586-265-9606
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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