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General NPI Number Information
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NPI Number | 1811761737
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Entity Type | Organization
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Legal Business Name | GIVING TREE THERAPY PLLC
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Dates
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Enumeration Date | 11/10/2023
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Last Update Date | 08/01/2024
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Provider Practice Location Address
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Address Line | 176 S MAIN ST
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City | BROOKLYN
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State | MI
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Zip | 49230
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Country | US
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Telephone | 517-550-5423
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Fax | 517-245-1911
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Provider Business Mailing Address
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Address Line | PO BOX 279
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City | BROOKLYN
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State | MI
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Zip | 49230-0279
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Country | US
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Telephone | 517-550-5423
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Fax | 517-245-1911
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Authorized Official
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Title or Position | OWNER
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Name | MR. JARRED WEBB
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Credential | LMSW
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Telephone | 517-513-5621
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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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