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General NPI Number Information
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NPI Number | 1447843362
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Entity Type | Organization
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Legal Business Name | CRQ CONSULTING SERVICES LLC
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Dates
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Enumeration Date | 02/12/2021
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 1568 FALL CREEK LN
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City | ANN ARBOR
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State | MI
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Zip | 48108-9579
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Country | US
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Telephone | 312-203-0969
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Fax |
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Provider Business Mailing Address
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Address Line | 1568 FALL CREEK LN
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City | ANN ARBOR
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State | MI
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Zip | 48108-9579
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Country | US
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Telephone | 312-203-0969
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. CAMILLE RENEE' QUINN
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Credential | PHD, AM, LCSW, LISW
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Telephone | 312-203-0969
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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