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General NPI Number Information
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NPI Number | 1881090587
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Entity Type | Organization
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Legal Business Name | NANCY A SPARROW LMSW LLC
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Dates
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Enumeration Date | 11/07/2014
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Last Update Date | 11/10/2014
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Provider Practice Location Address
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Address Line | 905 S CENTER ST
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City | ROYAL OAK
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State | MI
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Zip | 48067-3230
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Country | US
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Telephone | 248-336-8920
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Fax |
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Provider Business Mailing Address
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Address Line | 706 N ALTADENA AVE
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City | ROYAL OAK
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State | MI
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Zip | 48067-4202
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Country | US
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Telephone | 248-709-0956
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | MS. NANCY SPARROW
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Credential | LMSW, LMFT
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Telephone | 248-336-8920
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 6801019678
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License Number State | MI
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