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NPI 1235041385

NPI 1235041385 : MITZE ALEXANDER LMSW PLLC : MUSKEGON HEIGHTS, MI

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General NPI Number Information
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    NPI Number           |    1235041385
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    Entity Type          |    Organization 
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    Legal Business Name  |    MITZE ALEXANDER LMSW PLLC 
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Dates
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    Enumeration Date     |    09/22/2026
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    Last Update Date     |    09/22/2026
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Provider Practice Location Address
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    Address Line         |    3102 GLADE ST 
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    City                 |    MUSKEGON HEIGHTS
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    State                |    MI
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    Zip                  |    49444-2706
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    Country              |    US
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    Telephone            |    231-335-4646
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    Fax                  |    231-903-0621
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Provider Business Mailing Address
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    Address Line         |    1410 OAK AVE 
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    City                 |    MUSKEGON
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    State                |    MI
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    Zip                  |    49442-3732
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    Country              |    US
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    Telephone            |    231-335-4646
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    Fax                  |    231-903-0621
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     MITZE  ALEXANDER 
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    Credential           |    LMSW
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    Telephone            |    231-335-4646
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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       |    
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    License Number State |    
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