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General NPI Number Information
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NPI Number | 1689026379
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Entity Type | Individual
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Provider Name | JANET MARIE LADERE LMSW
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Gender | Female
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Dates
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Enumeration Date | 07/06/2016
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | 6301 M 68 HWY
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City | INDIAN RIVER
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State | MI
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Zip | 49749-9366
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Country | US
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Telephone | 231-203-3231
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Fax | 231-238-5003
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Provider Business Mailing Address
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Address Line | 108 S HURON ST
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City | CHEBOYGAN
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State | MI
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Zip | 49721-1627
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Country | US
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Telephone | 231-203-3231
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Fax | 231-238-5003
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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 | 6801098966
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801104957
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License Number State | MI
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