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General NPI Number Information
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NPI Number | 1295977304
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Entity Type | Organization
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Legal Business Name | GARNIER HEALTH SERVICES INC
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Dates
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Enumeration Date | 04/03/2009
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Last Update Date | 05/13/2009
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Provider Practice Location Address
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Address Line | 1035 S STATE ROAD 7 SUITE 315-21
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City | WELLINGTON
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State | FL
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Zip | 33414-6134
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Country | US
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Telephone | 561-714-8618
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Fax |
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Provider Business Mailing Address
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Address Line | 1035 S STATE ROAD 7 SUITE 315-21
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City | WELLINGTON
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State | FL
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Zip | 33414-6134
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Country | US
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Telephone | 561-714-8618
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Fax |
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Authorized Official
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Title or Position | LICENSED PSYCHOTHERAPIST
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Name | MYRIAM GLEMAUD GARNIER
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Credential | LCSW
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Telephone | 561-714-8618
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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 | SW7903
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License Number State | FL
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