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General NPI Number Information
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NPI Number | 1912614843
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Entity Type | Individual
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Provider Name | ISABELLA LEONE LMSW
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Gender | Female
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Dates
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Enumeration Date | 10/31/2022
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 28345 BECK RD
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City | WIXOM
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State | MI
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Zip | 48393-4733
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Country | US
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Telephone | 248-274-4560
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Fax |
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Provider Business Mailing Address
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Address Line | 21924 OCONNOR ST
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City | SAINT CLAIR SHORES
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State | MI
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Zip | 48080-2020
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Country | US
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Telephone | 248-930-5177
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 6801119522
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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 | 6851112818
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License Number State | MI
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