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General NPI Number Information
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NPI Number | 1972359842
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Entity Type | Organization
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Legal Business Name | ANGELA CHESSER LLC
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Dates
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Enumeration Date | 04/30/2024
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Last Update Date | 04/30/2024
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Provider Practice Location Address
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Address Line | 800 MONROE AVE NW STE 320
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City | GRAND RAPIDS
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State | MI
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Zip | 49503-1451
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Country | US
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Telephone | 616-965-1173
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Fax |
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Provider Business Mailing Address
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Address Line | 3056 BARRETT AVE SW
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City | GRANDVILLE
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State | MI
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Zip | 49418-1670
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LMSW CLINICAL THERAPIST
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Name | ANGELA CHESSER
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Credential | LMSW
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Telephone | 269-944-7199
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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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