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General NPI Number Information
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NPI Number | 1013093434
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Entity Type | Organization
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Legal Business Name | JOY HOLISTIC COUNSELING LLC
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Dates
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Enumeration Date | 10/27/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1807 CENTER GROTON RD
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City | LEDYARD
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State | CT
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Zip | 06339
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Country | US
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Telephone | 860-464-9384
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Fax | 860-464-9899
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Provider Business Mailing Address
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Address Line | 1807 CENTER GROTON RD
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City | LEDYARD
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State | CT
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Zip | 06339
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Country | US
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Telephone | 860-464-9384
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Fax | 860-464-9899
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Authorized Official
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Title or Position | OWNER
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Name | MS. BARBARA JEAN SAVAGE ANDERSON
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Credential | MSW LCSW
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Telephone | 860-464-9384
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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 | CT003396
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License Number State | CT
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