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General NPI Number Information
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NPI Number | 1184197998
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Entity Type | Organization
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Legal Business Name | GAFFNEY CONSULTATION AND COUNSELING SERVICES PLLC
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Dates
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Enumeration Date | 01/03/2019
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Last Update Date | 01/03/2019
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Provider Practice Location Address
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Address Line | 907 27TH ST APT 4
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City | ANACORTES
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State | WA
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Zip | 98221-5602
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Country | US
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Telephone | 603-770-3795
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Fax |
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Provider Business Mailing Address
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Address Line | 907 27TH ST APT 4
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City | ANACORTES
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State | WA
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Zip | 98221-5602
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Country | US
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Telephone | 603-770-3795
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Fax |
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Authorized Official
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Title or Position | EXECUTOR, INDIVIDUAL
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Name | BARBARA GAFFNEY
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Credential | LICSW
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Telephone | 603-770-3795
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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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