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General NPI Number Information
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NPI Number | 1437784402
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Entity Type | Organization
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Legal Business Name | JUDY S. GREENBERG COUNSELING SERVICES INC
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Dates
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Enumeration Date | 03/10/2020
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Last Update Date | 07/28/2020
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Provider Practice Location Address
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Address Line | 2790 SANDY PLAINS RD STE 203
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City | MARIETTA
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State | GA
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Zip | 30066-4377
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Country | US
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Telephone | 770-579-0880
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Fax | 770-579-0897
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Provider Business Mailing Address
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Address Line | 2790 SANDY PLAINS RD STE 203
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City | MARIETTA
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State | GA
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Zip | 30066-4377
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Country | US
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Telephone | 770-579-0880
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Fax | 770-579-0897
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Authorized Official
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Title or Position | OWNER
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Name | MS. JUDY SCHULMAN GREENBERG
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Credential | LCSW
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Telephone | 770-579-0880
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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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