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General NPI Number Information
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NPI Number | 1831235985
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Entity Type | Organization
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Legal Business Name | YWCA WEST CENTRAL MICHIGAN
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 01/09/2018
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Provider Practice Location Address
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Address Line | 25 SHELDON BLVD SE
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City | GRAND RAPIDS
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State | MI
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Zip | 49503-4209
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Country | US
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Telephone | 616-459-4681
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Fax | 616-459-5423
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Provider Business Mailing Address
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Address Line | 25 SHELDON BLVD SE
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City | GRAND RAPIDS
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State | MI
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Zip | 49503-4209
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Country | US
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Telephone | 616-459-4681
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Fax | 616-459-5423
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Authorized Official
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Title or Position | VICE PRESIDENT OF OPERATIONS
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Name | MS. DEBRA E SHIMMEL
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Credential |
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Telephone | 616-459-4681
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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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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