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General NPI Number Information
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NPI Number | 1104064740
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Entity Type | Individual
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Provider Name | MARIA SWIFTFOOT LLP, LLPC, CMMT
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Gender | Female
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Dates
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Enumeration Date | 02/03/2009
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Last Update Date | 04/14/2023
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Provider Practice Location Address
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Address Line | 4341 S WESTNEDGE AVE STE 1106
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City | KALAMAZOO
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State | MI
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Zip | 49008-3283
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Country | US
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Telephone | 269-312-1446
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2174
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City | KALAMAZOO
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State | MI
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Zip | 49003-2174
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Country | US
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Telephone | 269-312-1446
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 6401007071
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 6301010873
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 6361000784
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License Number State | MI
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