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General NPI Number Information
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NPI Number | 1851229306
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Entity Type | Individual
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Provider Name | KANDACE GREGORY
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Gender | Female
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Dates
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Enumeration Date | 05/13/2026
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Last Update Date | 05/13/2026
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Provider Practice Location Address
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Address Line | 13000 W 7 MILE RD
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City | DETROIT
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State | MI
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Zip | 48235-1335
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Country | US
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Telephone | 313-418-7126
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Fax |
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Provider Business Mailing Address
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Address Line | 15460 MAPLERIDGE ST
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City | DETROIT
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State | MI
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Zip | 48205-3029
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Country | US
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Telephone | 313-418-7126
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Fax | 313-418-7126
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number |
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License Number State |
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