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General NPI Number Information
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NPI Number | 1760290332
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Entity Type | Organization
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Legal Business Name | SOUL SESSIONS, PLLC
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Dates
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Enumeration Date | 12/27/2024
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Last Update Date | 12/27/2024
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Provider Practice Location Address
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Address Line | 201 S 1ST ST APT 123
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City | ANN ARBOR
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State | MI
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Zip | 48104-1761
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Country | US
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Telephone | 734-249-9219
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Fax |
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Provider Business Mailing Address
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Address Line | 201 S 1ST ST APT 123
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City | ANN ARBOR
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State | MI
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Zip | 48104-1761
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Country | US
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Telephone | 734-249-9219
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | GWENYTH MARIE HAYES
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Credential | LMSW
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Telephone | 734-249-9219
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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