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General NPI Number Information
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NPI Number | 1447898945
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Entity Type | Organization
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Legal Business Name | CLINTON COUNSELING LLC
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Dates
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Enumeration Date | 12/15/2019
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Last Update Date | 12/15/2019
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Provider Practice Location Address
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Address Line | 2301 S HURON PKWY STE 3A
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City | ANN ARBOR
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State | MI
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Zip | 48104-5133
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Country | US
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Telephone | 734-210-1454
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Fax | 833-687-0662
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Provider Business Mailing Address
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Address Line | 2325 LAKESHORE BLVD APT 622
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City | YPSILANTI
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State | MI
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Zip | 48198-6914
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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 | OWNER/THERAPIST
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Name | ALISON CLINTON
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Credential | LMSW
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Telephone | 734-210-1454
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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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