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General NPI Number Information
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NPI Number | 1477471266
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Entity Type | Organization
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Legal Business Name | RELEASE AND RESTORATION THERAPEUTIC SERVICES PLLC
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Dates
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Enumeration Date | 07/08/2026
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Last Update Date | 07/08/2026
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Provider Practice Location Address
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Address Line | 11434 LUCERNE
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City | REDFORD
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State | MI
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Zip | 48239-2282
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Country | US
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Telephone | 313-444-2164
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Fax | 213-283-6241
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Provider Business Mailing Address
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Address Line | PO BOX 40041
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City | REDFORD
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State | MI
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Zip | 48240-0041
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Country | US
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Telephone | 313-444-2164
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Fax | 213-283-6241
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Authorized Official
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Title or Position | CLINICAL SOCIAL WORKER
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Name | DESIREE L JOHNSON
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Credential | LMSW
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Telephone | 313-444-2164
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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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