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General NPI Number Information
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NPI Number | 1801401203
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Entity Type | Organization
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Legal Business Name | THERAPIST IS IN PLC
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Dates
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Enumeration Date | 09/11/2020
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Last Update Date | 09/11/2020
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Provider Practice Location Address
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Address Line | 43155 MAIN ST STE 2204C5
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City | NOVI
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State | MI
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Zip | 48375-1889
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Country | US
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Telephone | 248-390-2482
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Fax |
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Provider Business Mailing Address
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Address Line | 2150 OLD PLANK RD
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City | MILFORD
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State | MI
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Zip | 48381-3249
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Country | US
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Telephone | 248-390-2482
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Fax | 248-458-4211
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Authorized Official
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Title or Position | OWNER
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Name | MRS. LYNN A TURK
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Credential | LMSW
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Telephone | 248-390-2482
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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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