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General NPI Number Information
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NPI Number | 1316211972
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Entity Type | Organization
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Legal Business Name | DREAM CATCHERS WELL BEING, LLC
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Dates
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Enumeration Date | 02/29/2012
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Last Update Date | 02/29/2012
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Provider Practice Location Address
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Address Line | 15350 N COMMERCE DR SUITE 204
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City | DEARBORN
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State | MI
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Zip | 48120-1297
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Country | US
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Telephone | 313-203-2077
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Fax | 313-406-6433
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Provider Business Mailing Address
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Address Line | 15350 COMMERCE DRIVE SUITE 204
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City | DEARBORN
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State | MI
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Zip | 48120-1297
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Country | US
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Telephone | 313-203-2077
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Fax | 313-406-6433
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Authorized Official
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Title or Position | DIRECTOR / THERAPIST
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Name | MS. ERIN B MARTINEZ
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Credential | LMSW
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Telephone | 313-203-2077
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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 | 6801088512
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License Number State | MI
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