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General NPI Number Information
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NPI Number | 1700521663
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Entity Type | Organization
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Legal Business Name | VISION COUNSELING SERVICES
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Dates
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Enumeration Date | 05/04/2022
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Last Update Date | 05/04/2022
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Provider Practice Location Address
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Address Line | 23800 W 10 MILE RD STE 210
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City | SOUTHFIELD
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State | MI
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Zip | 48033-3141
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Country | US
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Telephone | 734-674-5751
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1963
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City | BELLEVILLE
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State | MI
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Zip | 48112-1963
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Country | US
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Telephone | 734-674-5751
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ELIZABETH RENEE RICHARDSON
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Credential |
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Telephone | 734-674-5751
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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 |
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License Number State |
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