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General NPI Number Information
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NPI Number | 1841242005
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Entity Type | Organization
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Legal Business Name | PROGRESSIVE HUMAN SERVICES INC.
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 07/09/2018
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Provider Practice Location Address
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Address Line | 19415 W MCNICHOLS RD
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City | DETROIT
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State | MI
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Zip | 48219
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Country | US
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Telephone | 313-969-6126
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 74176
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City | ROMULUS
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State | MI
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Zip | 48174-0176
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Country | US
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Telephone | 313-715-8869
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. JAMES FRANK MCGHEE I
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Credential | LMSW
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Telephone | 313-969-6126
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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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