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General NPI Number Information
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NPI Number | 1427888536
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Entity Type | Organization
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Legal Business Name | DEVON'S PLACE
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Dates
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Enumeration Date | 08/05/2024
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 41 LENOX POINTE NE STE B
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City | ATLANTA
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State | GA
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Zip | 30324-7424
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Country | US
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Telephone | 678-597-8084
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Fax |
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Provider Business Mailing Address
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Address Line | 41 LENOX POINTE NE STE B
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City | ATLANTA
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State | GA
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Zip | 30324-7424
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Country | US
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Telephone | 678-597-8084
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | JAIME ANN STEPANSKY
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Credential | LCSW, RPT
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Telephone | 678-561-5831
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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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