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General NPI Number Information
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NPI Number | 1245029453
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Entity Type | Organization
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Legal Business Name | GROW OUT LOUD LLC
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Dates
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Enumeration Date | 05/05/2025
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 2750 ARBURY CT
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City | COLUMBUS
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State | OH
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Zip | 43224-1702
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Country | US
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Telephone | 614-407-6748
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Fax |
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Provider Business Mailing Address
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Address Line | 2750 ARBURY CT
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City | COLUMBUS
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State | OH
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Zip | 43224-1702
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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 | OWNER
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Name | SHAYLA GARMAN
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Credential | MSW, LISW, CSAYC
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Telephone | 740-424-4463
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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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