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General NPI Number Information
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NPI Number | 1376086108
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Entity Type | Organization
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Legal Business Name | TRAVELING WITHIN COUNSELING AND CONSULTING LLC
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Dates
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Enumeration Date | 11/28/2016
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Last Update Date | 08/25/2021
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Provider Practice Location Address
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Address Line | 3876 BRIDGE WAY N SUITE 200
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City | SEATTLE
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State | WA
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Zip | 98103-7951
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Country | US
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Telephone | 206-271-3207
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Fax |
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Provider Business Mailing Address
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Address Line | 3207 COLBY AVE APT 205
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City | EVERETT
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State | WA
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Zip | 98201-4351
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Country | US
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Telephone | 206-271-3207
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | SUZANNA P MCCARTHY
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Credential | MSW
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Telephone | 206-271-3207
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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 | LW00006174
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License Number State | WA
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