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General NPI Number Information
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NPI Number | 1184411589
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Entity Type | Organization
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Legal Business Name | BAILEY PERUSKI COUNSELING LLC
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Dates
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Enumeration Date | 04/21/2025
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 401 CENTER AVE STE 30
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City | BAY CITY
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State | MI
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Zip | 48708-5912
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Country | US
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Telephone | 989-553-3888
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Fax |
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Provider Business Mailing Address
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Address Line | 12235 PALATIAL DR
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City | FREELAND
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State | MI
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Zip | 48623-8714
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LICENSED MASTER SOCIAL WORKER
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Name | BAILEY LASCESKI
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Credential |
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Telephone | 989-553-3888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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