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General NPI Number Information
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NPI Number | 1114424397
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Entity Type | Organization
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Legal Business Name | COMPASSION COUNSELING, INC.
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Dates
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Enumeration Date | 04/12/2018
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Last Update Date | 04/30/2018
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Provider Practice Location Address
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Address Line | 539 BENFIELD RD
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City | SEVERNA PARK
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State | MD
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Zip | 21146-2511
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Country | US
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Telephone | 410-562-4904
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Fax |
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Provider Business Mailing Address
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Address Line | 213 LOWER MAGOTHY BEACH RD
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City | SEVERNA PARK
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State | MD
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Zip | 21146-2105
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Country | US
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Telephone | 410-562-4904
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JILL CAMM
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Credential | LCSW-C
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Telephone | 410-562-4904
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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 | 07496
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License Number State | MD
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