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1497426712 NPI number — TARA LAFRAMBOISE LLMSW, CADC

NPI Number: 1497426712
Health Care Provider/Practitioner: TARA LAFRAMBOISE LLMSW, CADC

Information about “1497426712” NPI (TARA LAFRAMBOISE LLMSW, CADC) exists in 1497426712 in HTML format HTML  |  1497426712 in plain Text format TXT  |  1497426712 in PDF (Portable Document Format) PDF  |  1497426712 in an XML format XML  formats.

NPI Number : 1497426712 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1497426712",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LAFRAMBOISE",
    "FirstName": "TARA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LLMSW, CADC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SMITH",
    "OtherFirstName": "TARA",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "BA, CPRC",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "3773 ROGERS RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MIDLAND",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48642-8703",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "989-708-0881",
    "MailingAddressFaxNumber": "989-631-0242",
    "FirstLinePracticeLocationAddress": "133 N SAGINAW RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MIDLAND",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48640-3350",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "989-631-0241",
    "PracticeLocationAddressFaxNumber": "989-631-0242",
    "EnumerationDate": "09/27/2021",
    "LastUpdateDate": "06/01/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "101YA0400X",
          "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
          "LicenseNumber": "2-01785",
          "LicenseNumberStateCode": "MI",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "390200000X",
          "TaxonomyName": "Student in an Organized Health Care Education/Training Program",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "6851114805",
          "LicenseNumberStateCode": "MI",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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