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General NPI Number Information
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NPI Number | 1114376316
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Entity Type | Individual
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Provider Name | CHELSEA CONROY LMSW
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Gender | Female
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Dates
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Enumeration Date | 06/08/2016
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 23100 JEFFERSON AVE
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City | SAINT CLAIR SHORES
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State | MI
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Zip | 48080-2756
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Country | US
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Telephone | 586-335-2006
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Fax | 586-279-3886
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Provider Business Mailing Address
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Address Line | 6549 TOWN CENTER DR SUITE A
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City | CLARKSTON
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State | MI
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Zip | 48346-4824
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Country | US
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Telephone | 248-620-6400
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Fax | 248-620-6405
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801099601
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License Number State | MI
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