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General NPI Number Information
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NPI Number | 1790353068
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Entity Type | Organization
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Legal Business Name | NO WORRIES WELLNESS LLC
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Dates
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Enumeration Date | 06/14/2021
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Last Update Date | 06/14/2021
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Provider Practice Location Address
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Address Line | 10425 W NORTH AVE STE 312
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City | WAUWATOSA
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State | WI
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Zip | 53226-2416
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Country | US
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Telephone | 414-509-0029
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Fax | 414-296-8859
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Provider Business Mailing Address
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Address Line | 10425 W NORTH AVE STE 312
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City | WAUWATOSA
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State | WI
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Zip | 53226-2416
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Country | US
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Telephone | 414-509-0029
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Fax | 414-296-8859
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Authorized Official
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Title or Position | OWNER / LPC
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Name | JORDAN BROWN
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Credential | MS
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Telephone | 414-509-0029
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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