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General NPI Number Information
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NPI Number | 1306775697
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Entity Type | Individual
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Provider Name | BRIDGETTE L ALAM
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Gender | Female
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Dates
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Enumeration Date | 05/14/2026
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Last Update Date | 05/14/2026
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Provider Practice Location Address
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Address Line | 26657 WOODWARD AVE STE 100
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City | HUNTINGTON WOODS
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State | MI
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Zip | 48070-1300
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Country | US
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Telephone | 248-572-3390
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Fax |
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Provider Business Mailing Address
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Address Line | 55334 LEONARD CT
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City | SHELBY TOWNSHIP
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State | MI
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Zip | 48316-5321
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Country | US
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Telephone | 586-764-9392
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Fax |
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 6451024962
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License Number State | MI
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