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General NPI Number Information
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NPI Number | 1669796413
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Entity Type | Individual
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Provider Name | KIMBERLY ZERHONDA BROWN MS, LPC, LBSW
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Gender | Female
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Dates
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Enumeration Date | 03/23/2010
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Last Update Date | 10/28/2021
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Provider Practice Location Address
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Address Line | 17321 TELEGRAPH RD
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City | DETROIT
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State | MI
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Zip | 48219-3132
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Country | US
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Telephone | 313-255-0900
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Fax |
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Provider Business Mailing Address
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Address Line | 24519 OLDE ORCHARD ST
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City | NOVI
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State | MI
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Zip | 48375-2977
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Country | US
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Telephone | 313-300-1357
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 6802075582
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 6401011725
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License Number State | MI
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