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General NPI Number Information
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NPI Number | 1780438655
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Entity Type | Individual
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Provider Name | APRIL LATRICE COBB MA
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Gender | Female
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Dates
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Enumeration Date | 04/16/2024
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Last Update Date | 04/16/2024
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Provider Practice Location Address
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Address Line | 24901 NORTHWESTERN HWY STE 500
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City | SOUTHFIELD
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State | MI
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Zip | 48075-2212
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Country | US
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Telephone | 248-530-5380
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Fax |
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Provider Business Mailing Address
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Address Line | 16745 LINDSAY ST
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City | DETROIT
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State | MI
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Zip | 48235-3406
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Country | US
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Telephone | 313-318-0447
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 6451023285
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License Number State | MI
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