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General NPI Number Information
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NPI Number | 1336344407
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Entity Type | Individual
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Provider Name | MARY ALICE U. WRIGHT MSW
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Gender | Female
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Dates
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Enumeration Date | 06/19/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 40000 GRAND RIVER AVE STE 306
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City | NOVI
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State | MI
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Zip | 48375-2137
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Country | US
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Telephone | 248-426-9900
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Fax | 248-426-9950
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Provider Business Mailing Address
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Address Line | 25 SYLVAN AVE
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City | PLEASANT RIDGE
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State | MI
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Zip | 48069-1236
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Country | US
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Telephone | 248-376-3553
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801012938
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License Number State | MI
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