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General NPI Number Information
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NPI Number | 1194598417
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Entity Type | Organization
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Legal Business Name | INTERNAL COMPASS THE PATH TO HEALING WITHIN
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Dates
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Enumeration Date | 10/30/2023
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Last Update Date | 10/30/2023
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Provider Practice Location Address
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Address Line | 30 VENUS DR
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City | CLOSTER
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State | NJ
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Zip | 07624-2316
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Country | US
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Telephone | 530-331-0011
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Fax |
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Provider Business Mailing Address
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Address Line | 30 VENUS DR
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City | CLOSTER
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State | NJ
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Zip | 07624-2316
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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 | PSYCHOTHERAPIST
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Name | MOLLY KATHERIE STREMBA
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Credential | LCSW
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Telephone | 917-692-8679
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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