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General NPI Number Information
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NPI Number | 1225578347
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Entity Type | Organization
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Legal Business Name | SOLUTIONS AWARENESS WELL-BEING, LLC
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Dates
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Enumeration Date | 03/08/2017
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Last Update Date | 03/08/2017
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Provider Practice Location Address
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Address Line | 3701 OLD COURT RD SUITE 10
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City | PIKESVILLE
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State | MD
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Zip | 21208-3909
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Country | US
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Telephone | 443-764-4937
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Fax |
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Provider Business Mailing Address
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Address Line | 3 WINSHIRE CT
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City | OWINGS MILLS
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State | MD
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Zip | 21117-5571
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Country | US
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Telephone | 410-404-3581
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Fax |
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Authorized Official
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Title or Position | OWNER, CLINICAL SOCIAL WORKER
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Name | MS. STEPHANIE A WEST
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Credential | LCSW-C
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Telephone | 443-764-4937
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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 | 13848
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License Number State | MD
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