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General NPI Number Information
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NPI Number | 1518181213
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Entity Type | Organization
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Legal Business Name | KIMBERLY L. HILLERY & ASSOCIATES, PLLC
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 03/14/2014
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Provider Practice Location Address
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Address Line | 28921 W 7 MILE ROAD
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City | LIVONIA
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State | MI
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Zip | 48152
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Country | US
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Telephone | 248-442-7300
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Fax | 248-442-1506
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Provider Business Mailing Address
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Address Line | 28921 W. 7 MILE ROAD
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City | LIVONIA
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State | MI
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Zip | 48152-3503
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Country | US
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Telephone | 248-442-7300
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Fax | 248-442-1506
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Authorized Official
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Title or Position | CEO
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Name | MS. KIMBERLY LA SHARNE HILLERY
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Credential | LMSW
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Telephone | 248-442-7300
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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 |
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 6801087375
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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 | 6801087375
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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 | 681087375
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License Number State | MI
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Taxonomy #5
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 681087375
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License Number State | MI
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