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General NPI Number Information
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NPI Number | 1437744547
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Entity Type | Organization
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Legal Business Name | SOUTHWEST MICHIGAN FAMILY COUNSELING
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Dates
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Enumeration Date | 03/02/2021
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Last Update Date | 04/20/2021
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Provider Practice Location Address
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Address Line | 940 N 10TH ST STE 110
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City | KALAMAZOO
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State | MI
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Zip | 49009-6043
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Country | US
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Telephone | 269-420-9122
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Fax |
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Provider Business Mailing Address
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Address Line | 7843 HARVEST HILL LN
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City | KALAMAZOO
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State | MI
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Zip | 49009-6775
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Country | US
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Telephone | 269-420-9122
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. KRISTINE BRIGGS
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Credential | LMSW
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Telephone | 269-420-9122
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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 |
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License Number State |
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Taxonomy #2
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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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