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General NPI Number Information
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NPI Number | 1801046545
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Entity Type | Organization
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Legal Business Name | COMPASSIONATE LOOK PSYCHOTHERAPY SERVICES
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Dates
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Enumeration Date | 09/30/2008
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Last Update Date | 09/30/2008
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Provider Practice Location Address
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Address Line | 7315 WISCONSIN AVENUE SUITE 235 EAST TOWER
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City | BETHESDA
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State | MD
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Zip | 20814-3246
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Country | US
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Telephone | 301-654-5286
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Fax | 301-654-1087
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Provider Business Mailing Address
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Address Line | 7315 WISCONSIN AVENUE SUITE 235 EAST TOWER
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City | BETHESDA
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State | MD
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Zip | 20814-3246
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Country | US
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Telephone | 301-654-5286
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Fax | 301-654-1087
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PAMELA B BREWER
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Credential | MSW, PH.D, LCSW-C
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Telephone | 301-654-5286
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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 | 06257
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License Number State | MD
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