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General NPI Number Information
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NPI Number | 1609662907
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Entity Type | Individual
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Provider Name | LEAH R HIMES LLMSW
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Gender | Female
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Dates
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Enumeration Date | 04/15/2025
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Last Update Date | 05/18/2025
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Provider Practice Location Address
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Address Line | 22170 W 9 MILE RD
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City | SOUTHFIELD
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State | MI
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Zip | 48033-6007
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Country | US
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Telephone | 248-485-8650
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Fax | 248-213-9959
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Provider Business Mailing Address
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Address Line | 411 ELLEN AVE
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City | ROYAL OAK
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State | MI
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Zip | 48073-3317
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Country | US
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Telephone | 586-265-3686
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State | MI
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