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General NPI Number Information
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NPI Number | 1114600202
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Entity Type | Organization
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Legal Business Name | WHOLESENSE COUNSELING & CONSULTATION, PLLC
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Dates
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Enumeration Date | 08/07/2023
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Last Update Date | 08/09/2023
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Provider Practice Location Address
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Address Line | 7895 WATERWAY DR NW
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City | CONCORD
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State | NC
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Zip | 28027-4441
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Country | US
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Telephone | 828-705-3330
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Fax |
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Provider Business Mailing Address
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Address Line | 1005 REGAL HILLS LN
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City | MABLETON
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State | GA
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Zip | 30126-7266
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Country | US
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Telephone | 704-425-8999
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | GRACE K SMITH
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Credential | LCSW, LISW-CP
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Telephone | 704-425-8999
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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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