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General NPI Number Information
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NPI Number | 1265856587
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Entity Type | Individual
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Provider Name | MARIA CALDWELL LMSW
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Gender | Female
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Dates
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Enumeration Date | 02/06/2014
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Last Update Date | 12/19/2024
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Provider Practice Location Address
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Address Line | 37799 PROFESSIONAL CENTER #106
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City | LIVONIA
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State | MI
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Zip | 48154-1123
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Country | US
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Telephone | 248-343-4695
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Fax | 248-380-7227
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Provider Business Mailing Address
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Address Line | 37799 PROFESSIONAL CENTER DRIVE STE 106
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City | LIVONIA
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State | MI
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Zip | 48154-1123
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Country | US
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Telephone | 248-343-4695
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Fax | 248-380-7227
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 6801096158
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License Number State | MI
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