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General NPI Number Information
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NPI Number | 1770638819
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Entity Type | Organization
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Legal Business Name | SHERRY ET EL COUNSELING SERVICES
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 06/21/2018
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Provider Practice Location Address
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Address Line | 102 W NASH ST SUITE B
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City | LOUISBURG
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State | NC
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Zip | 27549-2526
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Country | US
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Telephone | 919-340-0230
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Fax | 919-340-2300
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Provider Business Mailing Address
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Address Line | PO BOX 54
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City | LOUISBURG
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State | NC
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Zip | 27549-0054
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Country | US
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Telephone | 919-340-0230
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Fax | 919-340-2300
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Authorized Official
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Title or Position | OWNER
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Name | MRS. SHERRY L TABRON
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Credential | MSW, LCSW
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Telephone | 919-340-0230
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | C001710
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License Number State | NC
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