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General NPI Number Information
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NPI Number | 1396411393
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Entity Type | Organization
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Legal Business Name | DARLENE WHITE LCSW LLC
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Dates
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Enumeration Date | 08/19/2021
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Last Update Date | 08/19/2021
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Provider Practice Location Address
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Address Line | 29 MAPLE ST UNIT 205
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City | SEYMOUR
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State | CT
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Zip | 06483-3352
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Country | US
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Telephone | 203-916-4594
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Fax |
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Provider Business Mailing Address
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Address Line | 29 MAPLE ST UNIT 205
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City | SEYMOUR
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State | CT
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Zip | 06483-3352
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Country | US
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Telephone | 203-490-8565
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Fax |
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Authorized Official
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Title or Position | CLINICIAN
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Name | DARLENE WHITE
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Credential | LCSW
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Telephone | 203-916-4594
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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