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General NPI Number Information
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NPI Number | 1831344118
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Entity Type | Organization
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Legal Business Name | CROSS FAMILY SERVICES PLLC
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Dates
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Enumeration Date | 11/30/2008
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Last Update Date | 11/30/2008
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Provider Practice Location Address
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Address Line | 2425 S LINDEN RD SUITE D-128
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City | FLINT
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State | MI
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Zip | 48532-5473
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Country | US
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Telephone | 810-618-1904
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Fax |
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Provider Business Mailing Address
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Address Line | 2425 S LINDEN RD SUITE D-128
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City | FLINT
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State | MI
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Zip | 48532-5473
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Country | US
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Telephone | 810-618-1904
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Fax |
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Authorized Official
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Title or Position | CLINICAL SOCIAL WORKER/OPERATOR
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Name | MR. WESLEY LLOYD CROSS
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Credential | LMSW CAAC
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Telephone | 810-618-1904
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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 | 6801083994
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License Number State | MI
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