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General NPI Number Information
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NPI Number | 1881868172
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Entity Type | Individual
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Provider Name | JENNIFER LYNN PARMENTER L.M.S.W
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Gender | Female
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Dates
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Enumeration Date | 04/17/2008
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Last Update Date | 04/17/2008
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Provider Practice Location Address
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Address Line | 1086 CHARLES H. ORNDORF DR.
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City | BRIGHTON
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State | MI
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Zip | 48116
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Country | US
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Telephone | 810-623-1628
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Fax |
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Provider Business Mailing Address
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Address Line | 1086 CHARLES H. ORNDORF DR.
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City | BRIGHTON
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State | MI
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Zip | 48116
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Country | US
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Telephone | 810-623-1628
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Fax |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 6801060778
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801060778
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License Number State | MI
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