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General NPI Number Information
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NPI Number | 1376345306
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Entity Type | Organization
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Legal Business Name | TRUE GRACE COUNSELING
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Dates
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Enumeration Date | 03/27/2025
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 20726 HALL RD
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City | CLINTON TWP
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State | MI
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Zip | 48038-1537
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Country | US
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Telephone | 947-247-6289
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Fax |
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Provider Business Mailing Address
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Address Line | 6589 SCENIC PINES CT
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City | CLARKSTON
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State | MI
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Zip | 48346-4475
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Country | US
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Telephone | 947-247-6289
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. SHARON ANGELL KILLEN
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Credential | LMSW
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Telephone | 947-247-6289
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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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