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General NPI Number Information
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NPI Number | 1942380951
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Entity Type | Organization
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Legal Business Name | A.B. COUNSELING SOLUTIONS, INC
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5717 MCMILLAN ST
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City | DEARBORN HEIGHTS
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State | MI
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Zip | 48127-2432
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Country | US
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Telephone | 313-523-4300
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Fax | 313-274-0110
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Provider Business Mailing Address
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Address Line | 5717 MCMILLAN ST
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City | DEARBORN HEIGHTS
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State | MI
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Zip | 48127-2432
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Country | US
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Telephone | 313-523-4300
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Fax | 313-274-0110
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Authorized Official
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Title or Position | DIRECTOR
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Name | MISS LINDA BAZZY
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Credential | MSW
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Telephone | 313-523-4300
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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 | 6802076104
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License Number State | MI
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