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General NPI Number Information
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NPI Number | 1528819869
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Entity Type | Organization
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Legal Business Name | BRANDIE A. TERIFAJ, LISW-CP, LCSW, PLLC
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Dates
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Enumeration Date | 03/27/2024
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Last Update Date | 03/27/2024
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Provider Practice Location Address
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Address Line | 3117 WHITING AVE
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City | CHARLOTTE
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State | NC
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Zip | 28205-1648
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Country | US
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Telephone | 301-471-3658
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Fax |
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Provider Business Mailing Address
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Address Line | 7004 WHITEWATER LOOP
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City | LOWELL
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State | NC
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Zip | 28098-0017
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Country | US
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Telephone | 301-471-3658
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST/OWNER
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Name | MRS. BRANDIE ALISABETH TERIFAJ
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Credential | LISW-CP, LCSW
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Telephone | 301-471-3658
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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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