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General NPI Number Information
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NPI Number | 1649089608
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Entity Type | Individual
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Provider Name | STEPHANIE ANN HENDRICKS NCC,ATR-BC,LPC,LPAT
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Gender | Female
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Dates
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Enumeration Date | 01/04/2025
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Last Update Date | 01/04/2025
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Provider Practice Location Address
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Address Line | 57 HADDONFIELD RD STE 100
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City | CHERRY HILL
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State | NJ
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Zip | 08002-4807
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Country | US
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Telephone | 609-889-8100
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Fax |
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Provider Business Mailing Address
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Address Line | 58B GRADY AVE
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City | HAMILTON
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State | NJ
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Zip | 08610-4527
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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 |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 37PC00949600
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 221700000X
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Taxonomy Name | Art Therapist
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License Number | 16LP00023800
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License Number State | NJ
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