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General NPI Number Information
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NPI Number | 1184367013
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Entity Type | Organization
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Legal Business Name | CAVE COUNSELING, PLLC
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Dates
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Enumeration Date | 04/19/2022
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Last Update Date | 04/19/2022
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Provider Practice Location Address
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Address Line | 89 MAIN ST
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City | ESSEX JUNCTION
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State | VT
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Zip | 05452-3207
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Country | US
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Telephone | 802-424-8561
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Fax |
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Provider Business Mailing Address
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Address Line | 15 S MAIN ST
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City | JERICHO
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State | VT
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Zip | 05465-2555
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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 | OWNER
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Name | SARAH MCCRACKEN
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Credential | LICSW, CIMHP
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Telephone | 802-424-8561
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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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