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General NPI Number Information
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NPI Number | 1215847801
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Entity Type | Organization
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Legal Business Name | GLIDDEN THERAPY CENTER, LLC
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Dates
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Enumeration Date | 09/08/2026
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Last Update Date | 09/08/2026
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Provider Practice Location Address
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Address Line | 39 AVENUE AT THE CMN STE 106
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City | SHREWSBURY
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State | NJ
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Zip | 07702-4560
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Country | US
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Telephone | 732-757-1021
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Fax |
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Provider Business Mailing Address
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Address Line | 39 AVENUE AT THE CMN STE 106
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City | SHREWSBURY
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State | NJ
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Zip | 07702-4560
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Country | US
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Telephone | 732-757-1021
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | MRS. CAROLINE GLIDDEN
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Credential | LMFT
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Telephone | 732-757-1021
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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