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General NPI Number Information
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NPI Number | 1083347397
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Entity Type | Organization
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Legal Business Name | LYNNAE GUFFIE LMSW PLLC
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Dates
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Enumeration Date | 07/05/2022
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Last Update Date | 07/05/2022
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Provider Practice Location Address
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Address Line | 705 GLADSTONE DR SE
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City | EAST GRAND RAPIDS
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State | MI
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Zip | 49506-2820
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Country | US
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Telephone | 616-430-1866
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Fax |
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Provider Business Mailing Address
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Address Line | 705 GLADSTONE DR SE
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City | EAST GRAND RAPIDS
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State | MI
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Zip | 49506-2820
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Country | US
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Telephone | 616-430-1866
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | MS. LYNNAE DAWN GUFFIE
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Credential | LMSW
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Telephone | 616-430-1866
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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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