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General NPI Number Information
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NPI Number | 1023636396
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Entity Type | Organization
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Legal Business Name | STONE SOUP COUNSELING, LLC
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Dates
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Enumeration Date | 07/13/2020
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Last Update Date | 05/19/2022
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Provider Practice Location Address
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Address Line | 2 HAMILL RD, ST 332
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City | BALTIMORE
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State | MD
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Zip | 21210-1813
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Country | US
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Telephone | 443-266-2270
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Fax | 888-835-6363
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Provider Business Mailing Address
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Address Line | 4407 MEADOWCLIFF RD.
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City | GLEN ARM
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State | MD
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Zip | 21057-9535
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Country | US
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Telephone | 443-266-2270
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Fax | 888-835-6363
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Authorized Official
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Title or Position | CO-OWNER, COO
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Name | KIMBERLY YAMAS
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Credential | LCSW-C
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Telephone | 443-266-2270
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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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