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NPI 1932561404

NPI 1932561404 : MRS. CATHERINE MIREE : FARMINGTON HILLS, MI

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General NPI Number Information
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    NPI Number           |    1932561404
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    Entity Type          |    Individual 
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    Provider Name        |    MRS. CATHERINE MIREE
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/24/2016
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    Last Update Date     |    10/15/2024
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Provider Practice Location Address
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    Address Line         |    33117 HAMILTON CT STE 200 
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    City                 |    FARMINGTON HILLS
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    State                |    MI
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    Zip                  |    48334-3355
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    Country              |    US
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    Telephone            |    248-802-9750
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    Fax                  |    248-671-3599
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Provider Business Mailing Address
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    Address Line         |    33117 HAMILTON CT STE 200 
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    City                 |    FARMINGTON HILLS
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    State                |    MI
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    Zip                  |    48334-3355
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    Country              |    US
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    Telephone            |    248-802-9750
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    Fax                  |    248-671-3599
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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       |    6401014516
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    License Number State |    MI
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