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General NPI Number Information
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NPI Number | 1417884065
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Entity Type | Individual
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Provider Name | MARIELUISE OTTEMAN ADAMSON LLMSW
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Gender | Female
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Dates
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Enumeration Date | 05/07/2026
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Last Update Date | 05/07/2026
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Provider Practice Location Address
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Address Line | 1736 GEZON PKWY SW STE 100
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City | WYOMING
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State | MI
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Zip | 49519-9525
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Country | US
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Telephone | 616-610-2783
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Fax |
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Provider Business Mailing Address
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Address Line | 4219 ILLINOIS AVE SW
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City | WYOMING
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State | MI
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Zip | 49509-4450
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Country | US
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Telephone |
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 6851118821
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License Number State | MI
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