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General NPI Number Information
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NPI Number | 1053756064
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Entity Type | Organization
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Legal Business Name | STEP BY STEP COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 05/03/2013
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Last Update Date | 12/17/2013
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Provider Practice Location Address
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Address Line | 776 W MIDWAY RD
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City | FORT PIERCE
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State | FL
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Zip | 34982-4203
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Country | US
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Telephone | 772-323-4134
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Fax |
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Provider Business Mailing Address
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Address Line | 776 W MIDWAY RD
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City | FORT PIERCE
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State | FL
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Zip | 34982-4203
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Country | US
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Telephone | 772-323-4134
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | DEBBIE K HOEFFNER
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Credential | LCSW
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Telephone | 772-323-4134
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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 | SW 8727
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License Number State | FL
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