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General NPI Number Information
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NPI Number | 1689958696
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Entity Type | Organization
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Legal Business Name | CHILD & FAMILY SERVICES OF THE U.P. INC.
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Dates
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Enumeration Date | 10/10/2011
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Last Update Date | 10/10/2011
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Provider Practice Location Address
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Address Line | 706 CHIPPEWA SQ STE 200
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City | MARQUETTE
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State | MI
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Zip | 49855-4817
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Country | US
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Telephone | 906-228-4050
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Fax | 906-228-2153
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Provider Business Mailing Address
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Address Line | 706 CHIPPEWA SQ STE 200
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City | MARQUETTE
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State | MI
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Zip | 49855-4817
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Country | US
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Telephone | 906-228-4050
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Fax | 906-228-2153
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. NORMA J SEMASHKO
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Credential | LMSW CAADC
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Telephone | 906-228-4050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State | MI
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