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General NPI Number Information
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NPI Number | 1275277782
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Entity Type | Organization
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Legal Business Name | LISA MUSTILLO PSYCHOTHERAPY
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Dates
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Enumeration Date | 04/21/2022
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Last Update Date | 08/09/2022
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Provider Practice Location Address
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Address Line | 1301 SHILOH RD NW STE 860
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City | KENNESAW
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State | GA
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Zip | 30144-7174
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Country | US
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Telephone | 917-992-7896
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Fax |
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Provider Business Mailing Address
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Address Line | 180 MONTGOMERY ST NE
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City | MARIETTA
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State | GA
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Zip | 30060-1440
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Country | US
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Telephone | 917-992-7896
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Fax |
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Authorized Official
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Title or Position | LICENSED CLINICAL SOCIAL WORKER
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Name | LISA MUSTILLO
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Credential | LCSW
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Telephone | 917-992-7896
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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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