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General NPI Number Information
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NPI Number | 1366458564
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Entity Type | Individual
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Provider Name | YVETTE WOODRUFF MA, LPC
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Gender | Female
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Dates
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Enumeration Date | 07/31/2006
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Last Update Date | 06/18/2024
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Provider Practice Location Address
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Address Line | 8149 GREEN VALLEY DRIVE
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City | GRAND BLANC
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State | MI
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Zip | 48439
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Country | US
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Telephone | 989-640-4024
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Fax | 248-288-1362
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Provider Business Mailing Address
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Address Line | 38 BEECHWOODE LN
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City | PONTIAC
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State | MI
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Zip | 48340
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Country | US
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Telephone | 248-763-6215
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Fax | 586-753-0404
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 6401004434
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License Number State | MI
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