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General NPI Number Information
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NPI Number | 1619744513
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Entity Type | Organization
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Legal Business Name | YOU MATTER THERAPY AND WELLNESS
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Dates
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Enumeration Date | 12/11/2023
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Last Update Date | 12/11/2023
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Provider Practice Location Address
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Address Line | 267 PEARL ST
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City | BURLINGTON
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State | VT
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Zip | 05401-8564
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Country | US
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Telephone | 607-206-0175
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Fax |
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Provider Business Mailing Address
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Address Line | 46 MAZZA CT
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City | COLCHESTER
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State | VT
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Zip | 05446-3827
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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 | SOLE-MEMBER/OWNER
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Name | CHRISTA MORDOFF
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Credential | LICSW
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Telephone | 607-206-0175
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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 |
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License Number State |
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