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General NPI Number Information
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NPI Number | 1760345912
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Entity Type | Organization
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Legal Business Name | COLLABORATIVE PARENTING SERVICES LLC
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Dates
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Enumeration Date | 12/04/2025
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Last Update Date | 12/06/2025
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Provider Practice Location Address
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Address Line | 1900 W PARK DR STE 280F
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City | WESTBOROUGH
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State | MA
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Zip | 01581-3942
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Country | US
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Telephone | 617-447-8974
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Fax |
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Provider Business Mailing Address
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Address Line | 101 FEDERAL ST STE 1900
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City | BOSTON
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State | MA
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Zip | 02110-1861
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. ALEXIS BROWN
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Credential | LICSW
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Telephone | 617-447-8974
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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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