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NPI 1477448439

NPI 1477448439 : LEANING TREE THERAPY, LLC : NORTH WATERBORO, ME

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General NPI Number Information
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    NPI Number           |    1477448439
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    Entity Type          |    Organization 
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    Legal Business Name  |    LEANING TREE THERAPY, LLC 
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Dates
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    Enumeration Date     |    06/10/2025
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    Last Update Date     |    06/10/2025
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Provider Practice Location Address
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    Address Line         |    125 LORDS RD 
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    City                 |    NORTH WATERBORO
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    State                |    ME
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    Zip                  |    04061-4325
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    Country              |    US
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    Telephone            |    978-378-0829
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 28 
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    City                 |    WATERBORO
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    State                |    ME
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    Zip                  |    04087-0028
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    Country              |    US
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    Telephone            |    978-378-0829
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     KRISTEN  SNYDER 
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    Credential           |    
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    Telephone            |    978-378-0829
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    
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    License Number State |    
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