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General NPI Number Information
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NPI Number | 1275774762
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Entity Type | Organization
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Legal Business Name | PATHWAYS FORWARD, INC.
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Dates
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Enumeration Date | 03/13/2009
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Last Update Date | 03/13/2009
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Provider Practice Location Address
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Address Line | 101 JORDAN DRIVE
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City | CHATTANOOGA
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State | TN
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Zip | 37421
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Country | US
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Telephone | 423-400-8586
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Fax |
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Provider Business Mailing Address
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Address Line | 3808 CHANTERWOOD TRL
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City | OOLTEWAH
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State | TN
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Zip | 37363-8206
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Country | US
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Telephone | 423-400-8586
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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 | VEANNA TAYLOR
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Credential | LCSW
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Telephone | 423-400-8586
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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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