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General NPI Number Information
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NPI Number | 1245647122
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Entity Type | Individual
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Provider Name | GWENDOLYN WILLIAMS SATCHELL LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/12/2014
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Last Update Date | 03/28/2024
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Provider Practice Location Address
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Address Line | 330 MAIN ST STE 209
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City | HARTFORD
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State | CT
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Zip | 06106-1860
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Country | US
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Telephone | 860-470-4722
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Fax |
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Provider Business Mailing Address
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Address Line | 58 SLATER RD
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City | NEW BRITAIN
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State | CT
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Zip | 06053-3437
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Country | US
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Telephone | 860-655-0046
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 58.011823
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License Number State | CT
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