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General NPI Number Information
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NPI Number | 1760718605
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Entity Type | Individual
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Provider Name | TEENA MARIE SAWICKI LMSW
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Gender | Female
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Dates
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Enumeration Date | 10/28/2009
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Last Update Date | 10/28/2009
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Provider Practice Location Address
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Address Line | 3501 HAMTRAMCK DR
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City | HAMTRAMCK
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State | MI
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Zip | 48211-1400
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Country | US
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Telephone | 313-875-7121
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Fax |
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Provider Business Mailing Address
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Address Line | 1868 CORA ST
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City | WYANDOTTE
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State | MI
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Zip | 48192-3924
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Country | US
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Telephone | 734-284-7784
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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 | 6801077433
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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