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General NPI Number Information
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NPI Number | 1609170612
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Entity Type | Organization
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Legal Business Name | NOREEN S CONLON LMHC LLC
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Dates
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Enumeration Date | 01/05/2011
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Last Update Date | 01/05/2011
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Provider Practice Location Address
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Address Line | 71 MAIN ST SUITE 2B
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City | WESTMINSTER
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State | MA
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Zip | 01473-1472
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Country | US
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Telephone | 978-827-5389
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Fax | 978-874-2112
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Provider Business Mailing Address
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Address Line | PO BOX 412
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City | WESTMINSTER
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State | MA
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Zip | 01473-0412
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Country | US
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Telephone | 978-827-5389
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Fax | 978-874-2112
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Authorized Official
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Title or Position | OWNER
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Name | MS. NOREEN S CONLON
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Credential | LMHC
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Telephone | 978-827-5389
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 5587
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License Number State | MA
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