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General NPI Number Information
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NPI Number | 1114874500
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Entity Type | Organization
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Legal Business Name | EASE PSYCHOTHERAPY, PLLC
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Dates
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Enumeration Date | 03/13/2026
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Last Update Date | 03/13/2026
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Provider Practice Location Address
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Address Line | 11 ANITA CIR
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City | WABAN
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State | MA
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Zip | 02468-2303
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Country | US
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Telephone | 617-329-1186
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Fax |
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Provider Business Mailing Address
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Address Line | 163 HIGHLAND AVE # 1065
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City | NEEDHAM
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State | MA
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Zip | 02494-3025
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Country | US
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Telephone | 617-329-1186
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Fax |
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Authorized Official
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Title or Position | OWNER / MANAGER / CLINICIAN
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Name | JOANNA PACKER
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Credential | LICSW
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Telephone | 617-329-1186
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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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