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General NPI Number Information
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NPI Number | 1922466978
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Entity Type | Individual
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Provider Name | SARAH KENDRICK MA, LPC, CAADC
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Gender | Female
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Dates
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Enumeration Date | 02/05/2016
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Last Update Date | 05/07/2024
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Provider Practice Location Address
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Address Line | 1435 N OAKLAND BLVD
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City | WATERFORD
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State | MI
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Zip | 48327-1549
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Country | US
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Telephone | 482-406-0103
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Fax |
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Provider Business Mailing Address
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Address Line | 269 SUMMIT DR
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City | WATERFORD
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State | MI
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Zip | 48328-3364
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Country | US
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Telephone | 248-461-2901
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 6401015116
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License Number State | MI
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