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General NPI Number Information
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NPI Number | 1245008093
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Entity Type | Organization
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Legal Business Name | KRISTI DEROY-OLIVERO LICSW INC.
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Dates
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Enumeration Date | 12/12/2023
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Last Update Date | 12/12/2023
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Provider Practice Location Address
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Address Line | 37 MYRTLE AVE
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City | HOLYOKE
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State | MA
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Zip | 01040-3513
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Country | US
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Telephone | 413-207-2803
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Fax |
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Provider Business Mailing Address
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Address Line | 6 HOLLY MEADOW RD
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City | HOLYOKE
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State | MA
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Zip | 01040-9775
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Country | US
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Telephone | 413-207-2803
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Fax |
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Authorized Official
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Title or Position | CLINICIAN
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Name | MRS. KRISTI OLIVERO
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Credential | MSW, LICSW
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Telephone | 413-207-2803
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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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