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General NPI Number Information
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NPI Number | 1427444736
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Entity Type | Organization
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Legal Business Name | ALTERNATIVE SOLUTIONS COUNSELING LLC
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Dates
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Enumeration Date | 04/13/2015
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Last Update Date | 04/13/2015
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Provider Practice Location Address
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Address Line | 6303 26 MILE RD STE 120
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City | WASHINGTON
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State | MI
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Zip | 48094-3825
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Country | US
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Telephone | 586-604-1339
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Fax |
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Provider Business Mailing Address
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Address Line | 6303 26 MILE RD STE 120
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City | WASHINGTON
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State | MI
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Zip | 48094-3825
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Country | US
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Telephone | 586-604-1339
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Fax |
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Authorized Official
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Title or Position | OWNER/CLINCIAL SOCIAL WORKER
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Name | REBECCA MAFFETONE
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Credential | LMSW
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Telephone | 586-604-1339
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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 | 6801074044
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License Number State | MI
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