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General NPI Number Information
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NPI Number | 1790841963
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Entity Type | Individual
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Provider Name | MARIANNE WALSH M.S.W., M. A.
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Gender | Female
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Dates
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Enumeration Date | 12/29/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 66 MILTON RD APARTMENT G12
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City | RYE
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State | NY
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Zip | 10580-3850
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Country | US
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Telephone | 914-584-9554
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 942
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City | SUFFERN
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State | NY
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Zip | 10901-0942
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Country | US
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Telephone | 845-368-3440
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LCSW SC06014
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LCSW R033920-1
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License Number State | NY
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