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General NPI Number Information
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NPI Number | 1528593852
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Entity Type | Organization
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Legal Business Name | ADA BROSIER COUNSELING SERVICES, PLLC
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Dates
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Enumeration Date | 04/24/2017
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Last Update Date | 04/24/2017
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Provider Practice Location Address
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Address Line | 1410 W MAIN ST SUITE B
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City | LOWELL
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State | MI
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Zip | 49331-1585
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Country | US
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Telephone | 989-430-3114
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Fax |
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Provider Business Mailing Address
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Address Line | 8347 10 MILE RD NE
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City | ROCKFORD
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State | MI
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Zip | 49341-7733
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Country | US
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Telephone | 989-430-3114
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Fax |
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Authorized Official
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Title or Position | OWNER/CLINICAL SOCIAL WORKER
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Name | MRS. ADA BROSIER
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Credential | M.S.W.,LMSW
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Telephone | 989-430-3114
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801092405
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License Number State | MI
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