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General NPI Number Information
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NPI Number | 1235228115
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Entity Type | Individual
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Provider Name | STANLEY B. GARWOOD JR. MSW LMSW
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Gender | Male
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 06/13/2016
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Provider Practice Location Address
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Address Line | 9340 DIXIE HWY.
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City | CLARKSTON
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State | MI
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Zip | 48348
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Country | US
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Telephone | 248-625-3123
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Fax |
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Provider Business Mailing Address
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Address Line | 9430 DIXIE HWY.
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City | CLARKSTON
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State | MI
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Zip | 48348
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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 |
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 4101005425
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License Number State | MI
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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 | 6801003212
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License Number State | MI
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