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NPI 1376309955

NPI 1376309955 : ALYSON HENRY, LCSW-C, LLC : CATONSVILLE, MD

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General NPI Number Information
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    NPI Number           |    1376309955
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    Entity Type          |    Organization 
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    Legal Business Name  |    ALYSON HENRY, LCSW-C, LLC 
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Dates
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    Enumeration Date     |    02/22/2024
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    Last Update Date     |    02/22/2024
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Provider Practice Location Address
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    Address Line         |    6 MADISON MILLS CT 
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    City                 |    CATONSVILLE
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    State                |    MD
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    Zip                  |    21228-2537
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    Country              |    US
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    Telephone            |    443-768-7925
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6 MADISON MILLS CT 
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    City                 |    CATONSVILLE
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    State                |    MD
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    Zip                  |    21228-2537
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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    |    OWNER
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    Name                 |     ALYSON  HENRY 
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    Credential           |    LCSW-C
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    Telephone            |    443-768-7925
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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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