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NPI Code Detail

MEDICARE: NANCY LYNN DUNIGAN MSW, RAC

MEDICARE:   NANCY LYNN DUNIGAN  MSW, RAC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor11775-RCA
21041C0700XClinical Social Worker80816CA
3101YM0800XMental Health Counselor81806CA

General Provider Information

NPI Number : 1588180756
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCY LYNN DUNIGAN MSW, RAC
Provider Business Mailing Address
First Line : 11105 E JEFFERSON AVE
Second Line :
City : DETROIT
State : MI
Zip : 48214-3317
Country : US
Telephone Number : 248-495-8985
Fax Number : 310-398-5690
Provider Business Practice Location Address
First Line : 11105 E JEFFERSON AVE
Second Line :
City : DETROIT
State : MI
Zip : 48214-3317
Country : US
Telephone Number : 248-495-8985
Fax Number : 310-398-5690
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2017
Last Update Date : 10/13/2022

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Directions to “ NANCY LYNN DUNIGAN MSW, RAC” Practice Location

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