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General NPI Number Information
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NPI Number | 1568760932
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Entity Type | Organization
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Legal Business Name | THE LEARNING WELL FOR CHILDREN LLC
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Dates
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Enumeration Date | 03/08/2011
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Last Update Date | 07/10/2018
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Provider Practice Location Address
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Address Line | 15 W FRONT ST
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City | FLORENCE
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State | NJ
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Zip | 08518-1318
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Country | US
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Telephone | 609-315-5992
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Fax | 609-360-3038
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Provider Business Mailing Address
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Address Line | 15 W FRONT ST
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City | FLORENCE
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State | NJ
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Zip | 08518-1318
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Country | US
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Telephone | 609-315-5992
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Fax | 609-360-3038
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Authorized Official
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Title or Position | OWNER
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Name | MRS. EDITH ESTRELLA WELLS
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Credential | MS, CCC-SPL, LDT/C
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Telephone | 609-315-5992
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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 | 41YS00161700
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License Number State | NJ
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