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General NPI Number Information
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NPI Number | 1346051109
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Entity Type | Organization
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Legal Business Name | THE NELSON CENTER FOR FAMILIES
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Dates
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Enumeration Date | 01/20/2025
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Last Update Date | 01/20/2025
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Provider Practice Location Address
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Address Line | 138 MCCATTY DR
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City | WHITE LAKE
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State | MI
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Zip | 48386-2440
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Country | US
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Telephone | 313-903-3955
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Fax |
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Provider Business Mailing Address
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Address Line | 138 MCCATTY DR
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City | WHITE LAKE
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State | MI
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Zip | 48386-2440
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Country | US
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Telephone | 313-903-3955
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Fax |
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Authorized Official
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Title or Position | MASTERS OF SOCIAL WORK
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Name | JENNIFER HUMPHREYS
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Credential | LMSW
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Telephone | 313-903-3955
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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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