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General NPI Number Information
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NPI Number | 1518110626
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Entity Type | Organization
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Legal Business Name | MORNING GLORY SOLUTIONS INC
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Dates
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Enumeration Date | 11/03/2008
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Last Update Date | 11/03/2008
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Provider Practice Location Address
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Address Line | 112 S FIRST AVE
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City | ALPENA
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State | MI
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Zip | 49707-2812
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Country | US
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Telephone | 989-358-9393
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Fax | 989-358-9390
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Provider Business Mailing Address
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Address Line | 112 S FIRST AVE
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City | ALPENA
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State | MI
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Zip | 49707-2812
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Country | US
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Telephone | 989-358-9393
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Fax | 989-358-9390
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Authorized Official
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Title or Position | OWNER
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Name | MS. JUDITH KATHRYN THOMPSON
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Credential | MSW, LMSW
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Telephone | 989-358-9393
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 4704107151
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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 | 6801008989
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801085677
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801066322
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License Number State | MI
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