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General NPI Number Information
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NPI Number | 1477230050
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Entity Type | Organization
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Legal Business Name | DEEM THERAPEUTIC AND COUNSELING SERVICES PLLC
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Dates
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Enumeration Date | 07/05/2023
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Last Update Date | 08/10/2023
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Provider Practice Location Address
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Address Line | 27841 BOWKER DR
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City | LE CLAIRE
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State | IA
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Zip | 52753-9780
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Country | US
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Telephone | 281-753-6681
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Fax |
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Provider Business Mailing Address
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Address Line | 27841 BOWKER DR
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City | LE CLAIRE
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State | IA
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Zip | 52753-9780
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Country | US
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Telephone | 281-753-6681
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | EMMA MARIE DEEM
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Credential | LISW
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Telephone | 281-753-6681
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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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