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General NPI Number Information
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NPI Number | 1306541156
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Entity Type | Organization
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Legal Business Name | MMGCOUNSELING LLC
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Dates
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Enumeration Date | 04/03/2023
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 1 SHERMAN HILL RD STE 2W
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City | WOODBURY
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State | CT
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Zip | 06798-3699
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Country | US
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Telephone | 203-305-0299
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Fax |
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Provider Business Mailing Address
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Address Line | 38 OSBORNE HILL RD
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City | SANDY HOOK
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State | CT
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Zip | 06482-1500
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Country | US
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Telephone | 203-305-0299
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MONICA GILSON
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Credential | LCSW
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Telephone | 203-305-0299
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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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