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General NPI Number Information
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NPI Number | 1538654660
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Entity Type | Organization
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Legal Business Name | LORRIE EDWARDS LICENSED COUNSELOR
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Dates
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Enumeration Date | 07/01/2018
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Last Update Date | 07/01/2018
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Provider Practice Location Address
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Address Line | 2513 HAMPSHIRE RD
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City | ANN ARBOR
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State | MI
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Zip | 48104-6535
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Country | US
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Telephone | 734-358-9273
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Fax |
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Provider Business Mailing Address
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Address Line | 2513 HAMPSHIRE RD
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City | ANN ARBOR
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State | MI
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Zip | 48104-6535
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Country | US
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Telephone | 734-358-9273
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANNE LORRAINE EDWARDS
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Credential | LPC
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Telephone | 734-358-9273
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 6401001863
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License Number State | MI
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