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General NPI Number Information
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NPI Number | 1407441561
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Entity Type | Organization
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Legal Business Name | MAES COUNSELING CORNER
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Dates
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Enumeration Date | 03/01/2021
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Last Update Date | 03/01/2021
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Provider Practice Location Address
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Address Line | 6700 ALEXANDER BELL DR STE 200
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City | COLUMBIA
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State | MD
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Zip | 21046-2105
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Country | US
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Telephone | 240-906-2147
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Fax |
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Provider Business Mailing Address
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Address Line | 6930 STORCH CIR
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City | LANHAM
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State | MD
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Zip | 20706-2177
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Country | US
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Telephone | 313-333-4027
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Fax |
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Authorized Official
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Title or Position | SOCIAL WORKER
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Name | ASHLEY EASON
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Credential | LCSWC
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Telephone | 313-333-4027
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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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