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General NPI Number Information
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NPI Number | 1689777641
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Entity Type | Organization
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Legal Business Name | CKL COUNSELING, RLLP
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Dates
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Enumeration Date | 09/06/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 396 ROUTE 6 AND 209 STE 3B
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City | MILFORD
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State | PA
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Zip | 18337-9490
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Country | US
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Telephone | 570-296-1742
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Fax | 570-296-4044
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Provider Business Mailing Address
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Address Line | 396 ROUTES 6 AND 209 STE 3B
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City | MILFORD
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State | PA
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Zip | 18337
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Country | US
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Telephone | 570-296-1742
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Fax |
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Authorized Official
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Title or Position | GENERAL PARTNER
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Name | MRS. CANDACE L ROMBOUSEK
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Credential | LCSW
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Telephone | 570-296-1742
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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 | CW006796L
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License Number State | PA
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