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General NPI Number Information
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NPI Number | 1114503075
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Entity Type | Organization
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Legal Business Name | DEBBIE CARDONA, LCSW LLC
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Dates
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Enumeration Date | 03/22/2021
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Last Update Date | 03/22/2021
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Provider Practice Location Address
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Address Line | 93 WEST ST STE 8
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City | DANBURY
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State | CT
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Zip | 06810-6525
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Country | US
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Telephone | 914-844-8034
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Fax |
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Provider Business Mailing Address
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Address Line | 20 SWEETCAKE MOUNTAIN RD
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City | NEW FAIRFIELD
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State | CT
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Zip | 06812-4106
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LICENSED CLINICAL SOCIAL WORKER
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Name | DEBBIE CARDONA
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Credential |
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Telephone | 914-844-8034
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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