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General NPI Number Information
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NPI Number | 1033078613
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Entity Type | Organization
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Legal Business Name | LILY OF THE VALLEY COUNSELING AND CONSULTING PLLC
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Dates
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Enumeration Date | 01/19/2026
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Last Update Date | 01/19/2026
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Provider Practice Location Address
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Address Line | 31 RED OAK ACRES
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City | MERRIMAC
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State | MA
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Zip | 01860-1530
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Country | US
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Telephone | 857-201-2327
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Fax |
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Provider Business Mailing Address
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Address Line | 31 RED OAK ACRES
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City | MERRIMAC
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State | MA
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Zip | 01860-1530
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Country | US
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Telephone | 857-201-2327
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MICHELLE JEGOROW
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Credential |
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Telephone | 857-488-6444
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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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