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General NPI Number Information
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NPI Number | 1962186916
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Entity Type | Individual
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Provider Name | MOLLY SANTIN LLMSW
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Gender | Female
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Dates
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Enumeration Date | 06/12/2023
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Last Update Date | 06/14/2025
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Provider Practice Location Address
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Address Line | 11270 E 13 MILE RD STE 2
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City | WARREN
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State | MI
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Zip | 48093-2599
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Country | US
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Telephone | 586-991-1052
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Fax |
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Provider Business Mailing Address
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Address Line | 27 NAKOTA ST
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City | CLAWSON
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State | MI
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Zip | 48017-2048
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Country | US
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Telephone | 248-918-9487
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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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 | 6851116518
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License Number State | MI
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