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General NPI Number Information
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NPI Number | 1225410632
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Entity Type | Organization
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Legal Business Name | WOMEN EMPOWERING WOMEN, INC.
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Dates
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Enumeration Date | 06/22/2015
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Last Update Date | 06/22/2015
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Provider Practice Location Address
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Address Line | 3580 S CUSTER RD
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City | MONROE
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State | MI
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Zip | 48161-9774
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Country | US
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Telephone | 734-242-6650
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Fax | 734-242-6630
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Provider Business Mailing Address
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Address Line | PO BOX 2002
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City | MONROE
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State | MI
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Zip | 48161-7002
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Country | US
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Telephone | 734-242-6650
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Fax | 734-242-6630
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | PAULA WHITMAN
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Credential | LIMITED LICENCED PSY
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Telephone | 734-242-6650
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | SA0580081
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | SA0580087
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License Number State | MI
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