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General NPI Number Information
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NPI Number | 1730069105
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Entity Type | Organization
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Legal Business Name | UNFILTERED GROWTH LLC
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Dates
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Enumeration Date | 09/05/2025
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 230 COLLINGWOOD ST STE 255
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City | ANN ARBOR
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State | MI
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Zip | 48103-3845
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Country | US
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Telephone | 517-442-3074
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Fax | 313-432-0627
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Provider Business Mailing Address
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Address Line | 230 COLLINGWOOD ST STE 255
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City | ANN ARBOR
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State | MI
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Zip | 48103-3845
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Country | US
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Telephone | 734-219-8022
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Fax | 313-432-0627
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | LAURIN TUXBURY ELLIOTT
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Credential | LMSW
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Telephone | 734-219-8022
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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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