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NPI 1912272139

NPI 1912272139 : THURBER COUNSELING SERVICES PLC : NORTHVILLE, MI

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General NPI Number Information
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    NPI Number           |    1912272139
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    Entity Type          |    Organization 
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    Legal Business Name  |    THURBER COUNSELING SERVICES PLC 
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Dates
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    Enumeration Date     |    03/21/2012
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    Last Update Date     |    03/21/2012
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Provider Practice Location Address
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    Address Line         |    21668 GARFIELD RD 
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    City                 |    NORTHVILLE
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    State                |    MI
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    Zip                  |    48167-8982
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    Country              |    US
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    Telephone            |    734-737-0970
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    21668 GARFIELD RD 
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    City                 |    NORTHVILLE
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    State                |    MI
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    Zip                  |    48167-8982
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     JANET LORENE THURBER 
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    Credential           |    LMSW
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    Telephone            |    734-737-0970
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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       |    6801086331
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    License Number State |    MI
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