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General NPI Number Information
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NPI Number | 1700529609
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Entity Type | Organization
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Legal Business Name | ADELLE'S CHILD AND FAMILY SERVICES
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Dates
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Enumeration Date | 04/18/2022
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | 3 ROGER LN
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City | ELMA
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State | WA
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Zip | 98541-9504
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Country | US
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Telephone | 360-747-7414
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Fax | 360-667-2666
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Provider Business Mailing Address
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Address Line | PO BOX 1329
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City | ELMA
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State | WA
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Zip | 98541-1329
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Country | US
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Telephone | 360-747-7414
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Fax | 360-667-2666
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | ADELLE S STUBBLEFIELD
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Credential | LICSW
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Telephone | 360-747-7414
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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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