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General NPI Number Information
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NPI Number | 1750165106
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Entity Type | Individual
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Provider Name | KAYLEE WIETEN LLMSW
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Gender | Female
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Dates
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Enumeration Date | 08/24/2023
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Last Update Date | 08/24/2023
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Provider Practice Location Address
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Address Line | 8 W WALTON AVE
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City | MUSKEGON
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State | MI
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Zip | 49440-1360
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Country | US
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Telephone | 231-722-7980
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Fax |
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Provider Business Mailing Address
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Address Line | 518 GRANDVIEW AVE
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City | SPRING LAKE
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State | MI
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Zip | 49456-2127
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Country | US
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Telephone | 616-843-5577
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Fax |
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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 | 6851117336
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License Number State | MI
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