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General NPI Number Information
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NPI Number | 1679137194
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Entity Type | Organization
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Legal Business Name | BRIGHTER DAYS FAMILY SERVICES INC
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Dates
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Enumeration Date | 04/30/2019
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Last Update Date | 04/30/2019
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Provider Practice Location Address
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Address Line | 11680 DOOLITTLE DR #111
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City | WALDORF
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State | MD
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Zip | 20602
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Country | US
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Telephone | 240-441-8524
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Fax |
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Provider Business Mailing Address
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Address Line | 1282 SMALLWOOD DR W STE 152
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City | WALDORF
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State | MD
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Zip | 20603-4732
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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 | MENTAL HEALTH THERAPIST
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Name | TAMECKA WOMACK
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Credential | LCPC
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Telephone | 240-441-8524
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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 |
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License Number State |
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