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General NPI Number Information
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NPI Number | 1720069602
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Entity Type | Organization
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Legal Business Name | CHILD AND FAMILY SERVICE OF SAGINAW COUNTY
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Dates
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Enumeration Date | 11/08/2005
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Last Update Date | 05/02/2022
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Provider Practice Location Address
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Address Line | 2838 AUTOMOTIVE CTR
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City | SAGINAW
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State | MI
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Zip | 48603-1220
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Country | US
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Telephone | 989-790-7500
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Fax | 989-790-8037
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Provider Business Mailing Address
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Address Line | 2838 AUTOMOTIVE CTR
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City | SAGINAW
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State | MI
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Zip | 48603-1220
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Country | US
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Telephone | 989-790-7500
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Fax | 989-790-8037
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | JILL ELAINE HOGENSON
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Credential |
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Telephone | 989-393-4234
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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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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Taxonomy #4
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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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