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General NPI Number Information
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NPI Number | 1255823381
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Entity Type | Organization
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Legal Business Name | D & D COUNSELING INC
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Dates
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Enumeration Date | 06/04/2018
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Last Update Date | 12/13/2024
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Provider Practice Location Address
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Address Line | 41810 VALHALLA TOWHNHOUSE RD UNIT 11
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City | CABLE
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State | WI
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Zip | 54821-5401
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Country | US
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Telephone | 630-333-3202
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 212
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City | CABLE
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State | WI
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Zip | 54821-0212
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Country | US
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Telephone | 630-333-3202
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Fax | 888-392-8402
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | DEBORAH L MCFADDEN
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Credential |
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Telephone | 630-333-3202
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 149007397
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License Number State | IL
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