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General NPI Number Information
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NPI Number | 1336673607
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Entity Type | Individual
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Provider Name | YARITZA SOLERO LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/13/2017
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Last Update Date | 02/28/2025
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Provider Practice Location Address
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Address Line | 27 HAMILTON ST
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City | SOUTHBRIDGE
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State | MA
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Zip | 01550-3705
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Country | US
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Telephone | 774-623-4982
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Fax |
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Provider Business Mailing Address
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Address Line | 100 CLEMENCE HILL RD
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City | SOUTHBRIDGE
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State | MA
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Zip | 01550-3414
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 314137
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW2120280
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License Number State | MA
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