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General NPI Number Information
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NPI Number | 1124175401
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Entity Type | Organization
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Legal Business Name | JOAN E. STEIN, MSW, ACSW, BCD, P.C.
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Dates
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Enumeration Date | 01/05/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6831 W RIDGE DR
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City | BRIGHTON
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State | MI
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Zip | 48116-8866
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Country | US
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Telephone | 810-220-2385
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Fax |
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Provider Business Mailing Address
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Address Line | 6831 W RIDGE DR
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City | BRIGHTON
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State | MI
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Zip | 48116-8866
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Country | US
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Telephone | 810-220-2385
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. JOAN E STEIN
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Credential | MSW, ACSW, BCD
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Telephone | 810-220-2385
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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 | 6801071911
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License Number State | MI
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