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General NPI Number Information
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NPI Number | 1629599360
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Entity Type | Individual
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Provider Name | MICHELE JEAN PRAINITO LMSW
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Gender | Female
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Dates
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Enumeration Date | 07/03/2017
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Last Update Date | 07/03/2017
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Provider Practice Location Address
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Address Line | 42473 GARFIELD RD
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City | CLINTON TOWNSHIP
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State | MI
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Zip | 48038-1651
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Country | US
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Telephone | 586-846-3284
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Fax |
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Provider Business Mailing Address
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Address Line | 51901 D W SEATON DR
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City | CHESTERFIELD
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State | MI
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Zip | 48047-1459
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Country | US
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Telephone | 248-225-8635
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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 | 6801095433
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License Number State |
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 6801095433
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | 6801095433
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License Number State | MI
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