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General NPI Number Information
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NPI Number | 1295128361
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Entity Type | Organization
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Legal Business Name | SHERRY A DEES LMSW ACSW LLC
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Dates
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Enumeration Date | 03/12/2015
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Last Update Date | 03/12/2015
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Provider Practice Location Address
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Address Line | 23933 ALLEN RD STE. 3
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City | WOODHAVEN
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State | MI
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Zip | 48183-3372
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Country | US
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Telephone | 734-719-0863
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Fax | 734-217-7501
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Provider Business Mailing Address
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Address Line | 23933 ALLEN RD STE. 3
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City | WOODHAVEN
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State | MI
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Zip | 48183-3372
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Country | US
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Telephone | 734-719-0863
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Fax | 734-217-7501
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Authorized Official
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Title or Position | THERAPIST
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Name | MS. SHERRY ANN DEES
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Credential | LMSW
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Telephone | 734-719-0863
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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 | 5801059374
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License Number State | MI
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