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General NPI Number Information
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NPI Number | 1093877714
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Entity Type | Organization
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Legal Business Name | DENNISON CONSULTING SERVICES INC
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Dates
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Enumeration Date | 12/16/2006
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Last Update Date | 10/29/2008
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Provider Practice Location Address
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Address Line | 7590 MISTWOOD DR
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City | WHITE LAKE
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State | MI
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Zip | 48383-3946
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Country | US
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Telephone | 248-922-0680
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Fax | 248-922-2820
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Provider Business Mailing Address
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Address Line | 7590 MISTWOOD DR
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City | WHITE LAKE
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State | MI
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Zip | 48383-3946
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Country | US
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Telephone | 248-922-0680
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Fax | 248-922-2820
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Authorized Official
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Title or Position | OWNER
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Name | MARY KERR
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Credential | MSW, ACSW
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Telephone | 248-922-0680
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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 | 6801011209
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License Number State | MI
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