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General NPI Number Information
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NPI Number | 1114675527
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Entity Type | Organization
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Legal Business Name | VOICES OF GENERATIONS
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Dates
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Enumeration Date | 03/15/2022
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Last Update Date | 03/15/2022
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Provider Practice Location Address
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Address Line | 13560 E MCNICHOLS RD
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City | DETROIT
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State | MI
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Zip | 48205-3426
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Country | US
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Telephone | 313-398-9705
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Fax |
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Provider Business Mailing Address
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Address Line | 26736 E CARNEGIE PARK DR
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City | SOUTHFIELD
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State | MI
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Zip | 48034-6153
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Country | US
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Telephone | 313-283-9374
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | AISHA HABEEB
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Credential | LMSW
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Telephone | 313-283-9374
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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