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General NPI Number Information
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NPI Number | 1093501397
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Entity Type | Organization
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Legal Business Name | KELLY GARAFOLA, LCSW-C, LLC
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Dates
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Enumeration Date | 04/15/2025
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 1 SUNNY MEADOW CT APT 102
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City | BALTIMORE
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State | MD
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Zip | 21209-5121
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Country | US
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Telephone | 443-243-7258
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Fax |
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Provider Business Mailing Address
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Address Line | 1 SUNNY MEADOW CT APT 102
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City | BALTIMORE
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State | MD
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Zip | 21209-5121
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Country | US
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Telephone | 443-243-7258
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Fax |
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Authorized Official
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Title or Position | SOCIAL WORKER
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Name | KELLY MICHELLE GARAFOLA
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Credential | LCSW-C
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Telephone | 443-243-7258
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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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