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General NPI Number Information
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NPI Number | 1558819847
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Entity Type | Organization
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Legal Business Name | ABC SOCIAL WORK AND COUNSELING
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Dates
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Enumeration Date | 09/14/2016
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 4308 CARLISLE BLVD NE STE 207
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City | ALBUQUERQUE
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State | NM
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Zip | 87107-4849
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Country | US
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Telephone | 505-991-0800
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Fax |
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Provider Business Mailing Address
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Address Line | 4925 S BROADWAY AVE # 1156
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City | WICHITA
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State | KS
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Zip | 67216-3716
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Country | US
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Telephone | 505-264-4032
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANNMARIE BOYD
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Credential | LCSW
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Telephone | 505-264-4032
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | C-08014
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License Number State | NM
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