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General NPI Number Information
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NPI Number | 1326223561
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Entity Type | Organization
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Legal Business Name | COUNSELING AND RESOURCE SERVICES, LLC
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Dates
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Enumeration Date | 01/07/2008
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Last Update Date | 01/07/2008
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Provider Practice Location Address
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Address Line | 131 OLD DIKE RD
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City | TRUMBULL
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State | CT
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Zip | 06611-3311
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Country | US
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Telephone | 203-377-5470
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Fax | 203-377-5470
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Provider Business Mailing Address
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Address Line | 131 OLD DIKE RD
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City | TRUMBULL
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State | CT
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Zip | 06611-3311
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Country | US
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Telephone | 203-377-5470
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Fax | 203-377-5470
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Authorized Official
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Title or Position | MANAGER
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Name | MS. DEBORAH R. ZABIN
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Credential | LCSW
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Telephone | 203-377-5470
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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 | 002113
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License Number State | CT
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