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General NPI Number Information
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NPI Number | 1346833308
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Entity Type | Organization
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Legal Business Name | SHILOH RELATIONSHIP COUNSELING, P.C.
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Dates
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Enumeration Date | 02/19/2021
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Last Update Date | 11/09/2024
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Provider Practice Location Address
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Address Line | 1460 WALTON BLVD STE 218
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City | ROCHESTER HILLS
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State | MI
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Zip | 48309-1779
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Country | US
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Telephone | 248-929-5354
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 81232
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City | ROCHESTER
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State | MI
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Zip | 48308-1232
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Country | US
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Telephone | 248-929-5354
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DEBBRA BRONSTAD-RIEMANN
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Credential | LMFT
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Telephone | 248-929-5354
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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