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General NPI Number Information
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NPI Number | 1720405418
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Entity Type | Individual
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Provider Name | BRITTNEY DAFTUAR LMSW
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Gender | Female
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Dates
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Enumeration Date | 03/19/2014
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 6555 W MAPLE RD
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48322-4926
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Country | US
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Telephone | 517-740-1260
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Fax |
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Provider Business Mailing Address
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Address Line | 2888 W GRAND BLVD
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City | DETROIT
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State | MI
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Zip | 48202-2612
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Country | US
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Telephone | 313-875-5051
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Fax | 248-322-5787
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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 | 6801092193
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License Number State | MI
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