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General NPI Number Information
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NPI Number | 1750969572
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Entity Type | Individual
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Provider Name | ALYSSA LOGRASSO POWER LICSW
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Gender | Female
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Dates
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Enumeration Date | 04/01/2021
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Last Update Date | 01/15/2025
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Provider Practice Location Address
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Address Line | 35 NEWPORT RD
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City | NEW LONDON
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State | NH
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Zip | 03257-5413
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Country | US
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Telephone | 603-865-1321
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Fax |
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Provider Business Mailing Address
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Address Line | 132 GEORGETOWN RD
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City | WEST NEWBURY
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State | MA
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Zip | 01985-2134
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Country | US
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Telephone | 781-454-9964
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 3243
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 226540
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 127474
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License Number State | MA
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 089.0136313TELE
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License Number State | VT
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