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General NPI Number Information
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NPI Number | 1639853609
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Entity Type | Individual
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Provider Name | AMY WOOD LLMSW
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Gender | Female
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Dates
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Enumeration Date | 06/12/2023
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Last Update Date | 06/12/2023
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Provider Practice Location Address
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Address Line | 3303 OAKWOOD BLVD
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City | MELVINDALE
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State | MI
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Zip | 48122-1101
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Country | US
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Telephone | 313-389-3330
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Fax |
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Provider Business Mailing Address
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Address Line | 1 LAFAYETTE PLAISANCE ST APT 1906
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City | DETROIT
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State | MI
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Zip | 48207-2868
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Country | US
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Telephone | 616-540-8259
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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 | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | 6851110188
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License Number State | MI
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