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General NPI Number Information
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NPI Number | 1295969798
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Entity Type | Organization
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Legal Business Name | SOCIALASPECT CONSULTING AGENCY INC
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Dates
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Enumeration Date | 05/12/2009
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Last Update Date | 08/07/2009
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Provider Practice Location Address
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Address Line | 20755 GREENFIELD RD SUITE 1101
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City | SOUTHFIELD
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State | MI
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Zip | 48075-5403
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Country | US
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Telephone | 313-801-1248
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 250513
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City | FRANKLIN
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State | MI
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Zip | 48025-0513
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Country | US
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Telephone | 313-801-1248
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | EMMA COOK
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Credential | LMSW
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Telephone | 313-801-1248
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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 | 6801068012
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License Number State | MI
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