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General NPI Number Information
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NPI Number | 1275707820
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Entity Type | Organization
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Legal Business Name | HUGULEY PSYCHOTHERAPY CLINIC, INC.
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Dates
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Enumeration Date | 04/15/2008
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Last Update Date | 04/20/2011
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Provider Practice Location Address
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Address Line | 214 N CADDO ST
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City | CLEBURNE
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State | TX
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Zip | 76031-4904
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Country | US
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Telephone | 817-558-2988
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Fax |
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Provider Business Mailing Address
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Address Line | 214 N CADDO ST
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City | CLEBURNE
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State | TX
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Zip | 76031-4904
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Country | US
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Telephone | 817-558-2988
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SYLVIA JOY BLACK
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Credential | LCSW
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Telephone | 817-558-2988
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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 | S14390
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License Number State | TX
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