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General NPI Number Information
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NPI Number | 1710145818
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Entity Type | Organization
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Legal Business Name | DEVELOPMENT CENTERS, INC.
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Dates
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Enumeration Date | 05/27/2008
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Last Update Date | 07/24/2018
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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
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Country | US
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Telephone | 313-531-2500
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Fax | 313-255-3471
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Provider Business Mailing Address
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Address Line | 17421 TELEGRAPH RD
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City | DETROIT
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State | MI
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Zip | 48219-3165
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Country | US
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Telephone | 313-531-2500
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Fax | 313-255-3471
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | CATHERINE LOUISE LIESMAN
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Credential | PHD
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Telephone | 313-531-2500
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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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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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