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General NPI Number Information
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NPI Number | 1679712541
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Entity Type | Organization
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Legal Business Name | PEGGY K MOREHOUSE LCSW LMFT INC
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Dates
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Enumeration Date | 02/16/2009
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Last Update Date | 02/16/2009
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Provider Practice Location Address
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Address Line | 750 HAMMOND DR NE BLDG 4 SUITE 300
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City | ATLANTA
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State | GA
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Zip | 30328-5532
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Country | US
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Telephone | 770-390-9734
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Fax | 770-395-1243
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Provider Business Mailing Address
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Address Line | 750 HAMMOND DR NE BLDG 4 SUITE 300
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City | ATLANTA
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State | GA
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Zip | 30328-5532
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Country | US
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Telephone | 770-390-9734
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Fax | 770-395-1243
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Authorized Official
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Title or Position | OWNER
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Name | MS. PEGGY K MOREHOUSE
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Credential | LCSW
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Telephone | 770-390-9734
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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 | 201
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License Number State | GA
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