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General NPI Number Information
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NPI Number | 1578773339
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Entity Type | Organization
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Legal Business Name | CONNECTIONS FAMILY SERVICES, INC.
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2757 GERMANTOWN AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19133-1727
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Country | US
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Telephone | 215-378-5528
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Fax |
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Provider Business Mailing Address
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Address Line | 2757 GERMANTOWN AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19133-1727
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Country | US
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Telephone | 215-378-5528
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE PRESIDENT
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Name | MRS. SALLY DENISE MAURER
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Credential | LCSW
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Telephone | 215-378-5528
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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 | CW013003
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License Number State | PA
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