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General NPI Number Information
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NPI Number | 1568803716
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Entity Type | Individual
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Provider Name | ASHLEY TEAL FRENDEWEY LMSW, CAADC
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Gender | Female
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Dates
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Enumeration Date | 07/16/2013
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Last Update Date | 08/03/2021
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Provider Practice Location Address
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Address Line | 5589 E M 36 STE B8
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City | PINCKNEY
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State | MI
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Zip | 48169-9260
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Country | US
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Telephone | 810-207-1439
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Fax | 810-335-1138
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Provider Business Mailing Address
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Address Line | 5589 E M 36 STE B8
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City | PINCKNEY
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State | MI
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Zip | 48169-9260
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Country | US
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Telephone | 810-207-1439
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Fax | 810-355-1138
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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