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General NPI Number Information
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NPI Number | 1598584609
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Entity Type | Organization
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Legal Business Name | DENISE MITCHELL DSW THERAPY LLC
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Dates
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Enumeration Date | 10/07/2024
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Last Update Date | 10/07/2024
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Provider Practice Location Address
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Address Line | 667 RIDGE HILL BLVD APT 502
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City | YONKERS
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State | NY
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Zip | 10710-7732
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Country | US
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Telephone | 732-423-8502
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Fax |
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Provider Business Mailing Address
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Address Line | 667 RIDGE HILL BLVD APT 502
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City | YONKERS
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State | NY
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Zip | 10710-7732
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Country | US
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Telephone | 732-423-8502
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Fax |
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Authorized Official
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Title or Position | DSW
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Name | DENISE MITCHELL
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Credential |
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Telephone | 732-423-8502
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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