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NPI 1386004968

NPI 1386004968 : MICHELLE NICOLE FERREL M.S.W. L.I.C.S.W : MINNEAPOLIS, MN

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General NPI Number Information
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    NPI Number           |    1386004968
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    Entity Type          |    Individual 
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    Provider Name        |    MICHELLE NICOLE FERREL M.S.W. L.I.C.S.W
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/25/2016
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    Last Update Date     |    02/26/2025
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Provider Practice Location Address
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    Address Line         |    11806 ABERDEEN ST. NE SUITE 220
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    City                 |    MINNEAPOLIS
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    State                |    MN
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    Zip                  |    55449-1547
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    Country              |    US
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    Telephone            |    612-541-7106
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    11806 ABERDEEN ST. NE SUITE 220
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    City                 |    MINNEAPOLIS
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    State                |    MN
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    Zip                  |    55449-1547
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    Country              |    US
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    Telephone            |    612-541-7106
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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        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    20486
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    License Number State |    MN
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