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General NPI Number Information
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NPI Number | 1356205769
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Entity Type | Individual
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Provider Name | ANDREA M HERRON MSW, LLMSW-CLINICAL
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Gender | Female
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Dates
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Enumeration Date | 12/10/2025
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 1370 S LAPEER RD
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City | OXFORD
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State | MI
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Zip | 48371-6106
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Country | US
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Telephone | 810-771-4074
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Fax |
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Provider Business Mailing Address
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Address Line | 1208 KEY WEST DR
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City | LAKE ORION
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State | MI
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Zip | 48360-1336
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Country | US
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Telephone | 248-210-7910
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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 | 6851120672
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License Number State | MI
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