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General NPI Number Information
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NPI Number | 1356516876
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Entity Type | Organization
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Legal Business Name | DSS COUNSELING SERVICES, P.C.
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Dates
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Enumeration Date | 04/25/2008
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Last Update Date | 04/25/2008
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Provider Practice Location Address
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Address Line | 17332 FARMINGTON RD
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City | LIVONIA
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State | MI
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Zip | 48152-3158
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Country | US
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Telephone | 734-394-0099
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Fax |
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Provider Business Mailing Address
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Address Line | 37637 5 MILE RD # 223
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City | LIVONIA
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State | MI
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Zip | 48154-1543
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Country | US
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Telephone | 734-394-0099
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | DOROTHY STOKES
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Credential | LMSW, CBIS, C-ASWCM
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Telephone | 734-394-0099
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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 | 6801074937
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License Number State | MI
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