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General NPI Number Information
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NPI Number | 1104565282
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Entity Type | Organization
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Legal Business Name | GRIEF AND LOSS COUNSELING LLC
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Dates
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Enumeration Date | 05/27/2022
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Last Update Date | 05/27/2022
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Provider Practice Location Address
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Address Line | 200 NE MISSOURI RD STE 268
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City | LEES SUMMIT
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State | MO
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Zip | 64086-4722
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Country | US
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Telephone | 816-376-0011
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Fax |
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Provider Business Mailing Address
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Address Line | 1108 SE TIMBERCREEK LN
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City | LEES SUMMIT
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State | MO
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Zip | 64081-3002
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Country | US
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Telephone | 816-376-0011
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JULIE ANNE ANELLO
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Credential |
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Telephone | 816-376-0011
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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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