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General NPI Number Information
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NPI Number | 1720403777
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Entity Type | Organization
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Legal Business Name | MS. & MR. LITTLE ONES, INC.
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Dates
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Enumeration Date | 02/27/2014
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Last Update Date | 02/27/2014
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Provider Practice Location Address
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Address Line | 10333 CASSIDY CT
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City | WALDORF
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State | MD
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Zip | 20601-3761
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Country | US
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Telephone | 240-375-6512
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Fax |
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Provider Business Mailing Address
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Address Line | 10333 CASSIDY CT
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City | WALDORF
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State | MD
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Zip | 20601-3761
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Country | US
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Telephone | 240-375-6512
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MARILYN DENISE GRAYNED PRICE
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Credential | LCSW-C, LICSW
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Telephone | 240-375-6512
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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 | LC50078222
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 12879
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License Number State | MD
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