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General NPI Number Information
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NPI Number | 1376442715
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Entity Type | Individual
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Provider Name | COLLEEN C KALANQUIN MSW
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Gender | Female
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Dates
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Enumeration Date | 11/03/2026
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Last Update Date | 11/03/2026
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Provider Practice Location Address
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Address Line | 2800 KENSINGTON RD
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City | BLOOMFIELD HILLS
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State | MI
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Zip | 48304-1830
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Country | US
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Telephone | 248-341-7100
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Fax |
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Provider Business Mailing Address
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Address Line | 11135 WOODFIELD PKWY
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City | GRAND BLANC
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State | MI
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Zip | 48439-9453
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Country | US
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Telephone | 810-845-8789
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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 | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | 6801061933
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License Number State | MI
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