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General NPI Number Information
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NPI Number | 1952897878
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Entity Type | Organization
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Legal Business Name | GRETA FURLONG LMSW PLLC
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Dates
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Enumeration Date | 07/03/2018
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Last Update Date | 11/01/2018
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Provider Practice Location Address
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Address Line | 2565 W ELLSWORTH RD
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City | ANN ARBOR
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State | MI
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Zip | 48108
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Country | US
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Telephone | 734-604-2651
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Fax | 734-827-2175
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Provider Business Mailing Address
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Address Line | 2565 W ELLSWORTH RD
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City | ANN ARBOR
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State | MI
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Zip | 48108-9639
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Country | US
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Telephone | 734-604-2651
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Fax | 734-827-2175
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Authorized Official
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Title or Position | MEMBER
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Name | GRETA A FURLONG
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Credential | LMSW
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Telephone | 734-604-2651
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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 | 6801097941
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License Number State | MI
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