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General NPI Number Information
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NPI Number | 1528264892
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Entity Type | Individual
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Provider Name | JESSICA A. MOCERI LLMSW
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Gender | Female
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Dates
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Enumeration Date | 06/25/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 35555 GARFIELD RD SUITE 3
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City | CLINTON TOWNSHIP
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State | MI
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Zip | 48035-5517
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Country | US
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Telephone | 586-792-1654
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Fax |
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Provider Business Mailing Address
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Address Line | 27278 ROAN DR
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City | WARREN
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State | MI
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Zip | 48093-4612
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Country | US
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Telephone | 313-318-6633
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 6801089240
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License Number State | MI
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