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General NPI Number Information
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NPI Number | 1821953118
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Entity Type | Organization
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Legal Business Name | NEURODIVERSE MICHIGAN, PLLC
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Dates
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Enumeration Date | 12/18/2025
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 2311 SHELBY AVE STE 201D
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City | ANN ARBOR
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State | MI
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Zip | 48103-3849
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Country | US
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Telephone | 734-707-1303
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Fax | 734-215-6952
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Provider Business Mailing Address
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Address Line | 10773 KENICOTT TRL
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City | BRIGHTON
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State | MI
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Zip | 48114-9075
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Country | US
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Telephone | 734-707-1303
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Fax | 734-215-6952
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Authorized Official
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Title or Position | MEMBER
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Name | ANGELA CURTS
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Credential | LMSW-CLINICAL AND MA
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Telephone | 734-707-1303
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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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Taxonomy #2
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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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