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General NPI Number Information
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NPI Number | 1205376787
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Entity Type | Individual
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Provider Name | EMILY KENNEDY LMSW
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Gender | Female
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Dates
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Enumeration Date | 03/02/2017
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 3830 PACKARD ST STE 160
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City | ANN ARBOR
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State | MI
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Zip | 48108-2357
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Country | US
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Telephone | 734-929-9703
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Fax |
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Provider Business Mailing Address
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Address Line | 5015 WILLOW RD
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City | SALINE
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State | MI
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Zip | 48176-9372
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Country | US
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Telephone | 248-345-5933
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801116227
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License Number State | MI
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