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General NPI Number Information
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NPI Number | 1356170179
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Entity Type | Organization
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Legal Business Name | EMPOWERING PATHWAYS LLC
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Dates
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Enumeration Date | 07/30/2024
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Last Update Date | 07/30/2024
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Provider Practice Location Address
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Address Line | 2450 44TH ST SE STE 302
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City | KENTWOOD
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State | MI
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Zip | 49512-9081
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Country | US
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Telephone | 616-259-5025
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Fax |
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Provider Business Mailing Address
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Address Line | 715 E CHARLES ST
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City | HASTINGS
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State | MI
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Zip | 49058-1373
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Country | US
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Telephone | 616-259-5025
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SARAH MICKLATCHER
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Credential | LMSW
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Telephone | 616-259-5025
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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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