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General NPI Number Information
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NPI Number | 1841127172
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Entity Type | Organization
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Legal Business Name | DREAMTEK YOUTH INC
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Dates
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Enumeration Date | 05/08/2026
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Last Update Date | 05/21/2026
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Provider Practice Location Address
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Address Line | 15400 GRAND RIVER AVE LOWR LVL
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City | DETROIT
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State | MI
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Zip | 48227-4124
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Country | US
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Telephone | 248-247-4623
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Fax |
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Provider Business Mailing Address
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Address Line | 15400 GRAND RIVER AVE LOWR LVL
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City | DETROIT
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State | MI
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Zip | 48227-4124
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Country | US
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Telephone | 248-247-4623
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Fax |
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Authorized Official
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Title or Position | OFFICE
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Name | JENNIFER D LANE
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Credential | CHW
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Telephone | 248-247-4623
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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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