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General NPI Number Information
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NPI Number | 1720306285
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Entity Type | Individual
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Provider Name | MAUREEN ANNE CORTS M.S.W.
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Gender | Female
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Dates
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Enumeration Date | 05/08/2010
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Last Update Date | 11/15/2024
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Provider Practice Location Address
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Address Line | 3311 GREENLEAF BLVD
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City | KALAMAZOO
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State | MI
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Zip | 49008-2516
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Country | US
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Telephone | 269-372-4140
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Fax | 269-372-0390
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Provider Business Mailing Address
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Address Line | 3311 GREENLEAF BLVD
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City | KALAMAZOO
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State | MI
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Zip | 49008-2516
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Country | US
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Telephone | 269-998-1859
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Fax | 269-220-3769
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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 | 6801066650
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License Number State | MI
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