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General NPI Number Information
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NPI Number | 1396596623
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Entity Type | Individual
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Provider Name | COURTNEY LEMOINE LLMSW
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Gender | Female
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Dates
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Enumeration Date | 03/27/2024
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Last Update Date | 02/05/2026
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Provider Practice Location Address
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Address Line | 2422 BURTON ST SE STE B
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City | GRAND RAPIDS
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State | MI
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Zip | 49546-4810
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Country | US
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Telephone | 616-226-6522
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Fax |
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Provider Business Mailing Address
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Address Line | 4048 WOODLAND CREEK DR SE APT 101
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City | GRAND RAPIDS
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State | MI
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Zip | 49512-3038
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Country | US
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Telephone | 616-745-4533
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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 |
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License Number State |
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