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General NPI Number Information
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NPI Number | 1558842559
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Entity Type | Organization
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Legal Business Name | CENTRAL CT WELLNESS, LLC
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Dates
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Enumeration Date | 08/27/2018
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Last Update Date | 08/27/2018
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Provider Practice Location Address
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Address Line | 136 COMMERCE WAY
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City | SOUTH WINDSOR
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State | CT
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Zip | 06074-1151
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Country | US
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Telephone | 860-367-5061
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Fax |
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Provider Business Mailing Address
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Address Line | 46 HAWTHORNE ST
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City | MANCHESTER
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State | CT
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Zip | 06042-3021
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | KATHERINE KIRCH
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Credential | LCSW
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Telephone | 860-367-5061
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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 | 008335
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License Number State | CT
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