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General NPI Number Information
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NPI Number | 1386086262
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Entity Type | Organization
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Legal Business Name | FAMILY SERVICE INC
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Dates
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Enumeration Date | 07/22/2013
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Last Update Date | 07/22/2013
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Provider Practice Location Address
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Address Line | 3030 FAIRVIEW ST
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City | DETROIT
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State | MI
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Zip | 48214-2215
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Country | US
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Telephone | 313-866-4500
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Fax |
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Provider Business Mailing Address
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Address Line | 120 PARSONS ST
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City | DETROIT
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State | MI
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Zip | 48201-2002
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Country | US
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Telephone | 313-579-5989
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Fax | 313-831-9139
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Authorized Official
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Title or Position | EXECUTICE DIRECTOR
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Name | DEBORAH SNYDER
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Credential | MA, LLP
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Telephone | 12489904337
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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License Number |
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License Number State |
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