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General NPI Number Information
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NPI Number | 1487523635
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Entity Type | Organization
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Legal Business Name | CONNECTED CROSSINGS, LLC
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Dates
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Enumeration Date | 11/04/2025
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 1710 W MAIN ST STE 213
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City | BATTLE GROUND
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State | WA
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Zip | 98604-4318
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Country | US
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Telephone | 360-984-0515
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Fax | 360-342-2144
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Provider Business Mailing Address
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Address Line | 1710 W MAIN ST STE 213
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City | BATTLE GROUND
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State | WA
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Zip | 98604-4318
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Country | US
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Telephone | 360-984-0515
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Fax | 360-342-2144
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | MOLLY JEAN FORFAR
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Credential | LICSW
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Telephone | 360-984-0515
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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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