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General NPI Number Information
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NPI Number | 1508032285
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Entity Type | Individual
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Provider Name | VALERIE C HARRIS LCSW
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Gender | Female
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Dates
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Enumeration Date | 05/02/2008
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Last Update Date | 01/10/2023
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Provider Practice Location Address
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Address Line | 29876 NEWPORT DR
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City | WARREN
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State | MI
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Zip | 48088-3643
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Country | US
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Telephone | 313-218-3421
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Fax |
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Provider Business Mailing Address
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Address Line | 10539 SHADY FALLS CT
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City | RIVERVIEW
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State | FL
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Zip | 33578-5419
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Country | US
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Telephone | 313-218-3421
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | C-00383
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License Number State | MI
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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 | 6801089262
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License Number State | MI
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