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General NPI Number Information
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NPI Number | 1962813386
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Entity Type | Organization
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Legal Business Name | AMY L. JUNEAU, LMSW, OSW-C, LLC
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Dates
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Enumeration Date | 05/20/2014
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Last Update Date | 05/20/2014
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Provider Practice Location Address
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Address Line | 600 CHARLEVOIX AVE
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City | PETOSKEY
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State | MI
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Zip | 49770-2287
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Country | US
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Telephone | 231-622-5216
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Fax | 888-974-3351
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Provider Business Mailing Address
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Address Line | 600 CHARLEVOIX AVE
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City | PETOSKEY
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State | MI
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Zip | 49770-2287
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Country | US
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Telephone | 231-622-5216
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Fax | 888-974-3351
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Authorized Official
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Title or Position | CLINICAL ONCOLOGY SOCIAL WORKER
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Name | AMY JUNEAU
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Credential | LMSW, OSW-C
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Telephone | 231-622-5216
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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 | 6801091675
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License Number State | MI
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