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General NPI Number Information
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NPI Number | 1568096030
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Entity Type | Organization
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Legal Business Name | SUZAN M FISCHER LPC, PLLC
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Dates
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Enumeration Date | 02/24/2020
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Last Update Date | 02/24/2020
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Provider Practice Location Address
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Address Line | 198 S MAIN ST STE 2
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City | MOUNT CLEMENS
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State | MI
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Zip | 48043-7917
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Country | US
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Telephone | 586-764-8867
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Fax |
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Provider Business Mailing Address
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Address Line | 26 BELLEVIEW ST
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City | MOUNT CLEMENS
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State | MI
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Zip | 48043-2241
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Country | US
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Telephone | 586-764-8867
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Fax |
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Authorized Official
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Title or Position | PROVIDER/OWNER
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Name | SUZAN M FISCHER
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Credential | LPC
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Telephone | 586-764-8867
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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 |
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License Number State |
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