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General NPI Number Information
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NPI Number | 1437327178
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Entity Type | Organization
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Legal Business Name | GARRISON COULSELING SERVICES PLLC
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Dates
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Enumeration Date | 02/15/2008
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Last Update Date | 08/31/2008
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Provider Practice Location Address
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Address Line | 1945 J N PEASE PL SUITE 202
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City | CHARLOTTE
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State | NC
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Zip | 28262-4505
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Country | US
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Telephone | 704-591-2466
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Fax | 704-548-9855
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Provider Business Mailing Address
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Address Line | 1945 J N PEASE PL SUITE 202
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City | CHARLOTTE
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State | NC
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Zip | 28262-4505
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Country | US
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Telephone | 704-591-2466
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Fax | 704-548-9855
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Authorized Official
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Title or Position | OWNER, THERAPIST
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Name | DONNA ADAIR GARRISON
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Credential | MSW, LCSW
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Telephone | 704-591-2466
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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 | C002209
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License Number State | NC
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