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General NPI Number Information
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NPI Number | 1336531219
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Entity Type | Organization
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Legal Business Name | DESIREE SCIME LMFT LADC
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Dates
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Enumeration Date | 03/02/2015
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 27 SIEMON COMPANY DR STE 110W
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City | WATERTOWN
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State | CT
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Zip | 06795-2654
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Country | US
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Telephone | 203-668-1926
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Fax |
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Provider Business Mailing Address
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Address Line | 387 HIGHLAND DR
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City | WATERBURY
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State | CT
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Zip | 06708-3651
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Country | US
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Telephone | 203-668-1926
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Fax | 203-583-3927
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Authorized Official
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Title or Position | OWNER
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Name | MISS DESIREE A SCIME
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Credential | LMFT,LADC
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Telephone | 203-668-1926
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 001437
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License Number State | CT
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