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General NPI Number Information
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NPI Number | 1083296560
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Entity Type | Organization
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Legal Business Name | RAYE LOCKE LICSW LLC
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Dates
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Enumeration Date | 04/24/2021
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Last Update Date | 05/07/2023
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Provider Practice Location Address
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Address Line | 25 MAIN ST STE 333
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City | NORTHAMPTON
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State | MA
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Zip | 01060-3047
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Country | US
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Telephone | 413-341-9228
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Fax |
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Provider Business Mailing Address
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Address Line | 237 MAIN ST APT 2
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City | LEEDS
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State | MA
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Zip | 01053-9775
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Country | US
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Telephone | 413-341-9228
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST/OWNER
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Name | RACHEL LOCKE
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Credential | LICSW
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Telephone | 413-341-9228
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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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