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General NPI Number Information
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NPI Number | 1225896756
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Entity Type | Organization
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Legal Business Name | LAUREN WOLFE LLC
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Dates
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Enumeration Date | 03/11/2024
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Last Update Date | 03/11/2024
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Provider Practice Location Address
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Address Line | 75 GLEN RD STE G03
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City | SANDY HOOK
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State | CT
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Zip | 06482-1197
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Country | US
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Telephone | 203-837-6270
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Fax |
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Provider Business Mailing Address
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Address Line | 38 BROOKWOOD DR
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City | NEWTOWN
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State | CT
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Zip | 06470-1829
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Country | US
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Telephone | 203-837-6270
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | LAUREN WOLFE ABDULRAHMAN
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Credential | MS, LPC
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Telephone | 203-837-6270
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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