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General NPI Number Information
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NPI Number | 1306401484
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Entity Type | Organization
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Legal Business Name | KATRINA M MILLIKEN PLLC
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Dates
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Enumeration Date | 05/05/2019
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Last Update Date | 02/09/2023
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Provider Practice Location Address
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Address Line | 134 W MIDDLE ST STE I
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City | CHELSEA
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State | MI
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Zip | 48118-1515
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Country | US
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Telephone | 248-491-8840
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Fax | 248-592-7240
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Provider Business Mailing Address
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Address Line | 572 PLEASANT DR
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City | GREGORY
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State | MI
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Zip | 48137-9580
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Country | US
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Telephone | 248-978-3584
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Fax | 248-592-7240
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | KATRINA M MILLIKEN
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Credential | LMSW
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Telephone | 248-978-3584
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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 |
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License Number State |
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