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General NPI Number Information
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NPI Number | 1396634424
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Entity Type | Individual
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Provider Name | JOANNE DEBRAH M.ED, CAGS
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Gender | Female
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Dates
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Enumeration Date | 07/02/2025
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 991 PROVIDENCE HWY
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City | NORWOOD
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State | MA
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Zip | 02062-5001
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Country | US
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Telephone | 774-381-9648
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Fax | 877-800-9185
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Provider Business Mailing Address
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Address Line | 254 LENOX AVE
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City | PROVIDENCE
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State | RI
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Zip | 02907-2631
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Country | US
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Telephone | 401-243-3301
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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 | 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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