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General NPI Number Information
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NPI Number | 1356658579
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Entity Type | Individual
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Provider Name | ALISHA RAE MCCABE L.M.S.W.
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Gender | Female
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Dates
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Enumeration Date | 09/09/2010
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Last Update Date | 12/12/2024
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Provider Practice Location Address
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Address Line | 17100 SILVER PKWY STE D
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City | FENTON
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State | MI
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Zip | 48430-3468
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Country | US
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Telephone | 810-208-0378
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Fax | 810-963-1917
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Provider Business Mailing Address
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Address Line | 6322 E HORSESHOE TRL
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City | LINDEN
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State | MI
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Zip | 48451-8939
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Country | US
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Telephone | 810-922-1808
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 6801096916
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801096916
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801098084
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License Number State | MI
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