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General NPI Number Information
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NPI Number | 1245117704
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Entity Type | Organization
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Legal Business Name | REFUGE IN HEALING
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Dates
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Enumeration Date | 08/18/2025
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 22332 GARRISON ST
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City | DEARBORN
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State | MI
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Zip | 48124-2228
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Country | US
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Telephone | 313-364-9779
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Fax |
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Provider Business Mailing Address
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Address Line | 20438 BROOKLAWN DR
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City | DEARBORN HEIGHTS
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State | MI
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Zip | 48127-2640
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Country | US
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Telephone | 313-265-7455
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Fax |
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Authorized Official
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Title or Position | LICENSED CLINICAL SOCIAL WORKER
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Name | ASRAA ALBONAJEM
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Credential | LCSW
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Telephone | 313-265-7455
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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