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General NPI Number Information
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NPI Number | 1811286628
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Entity Type | Organization
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Legal Business Name | COUNSELING FOR CHANGE
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Dates
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Enumeration Date | 04/01/2011
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Last Update Date | 04/01/2011
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Provider Practice Location Address
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Address Line | 225 S CHURCH ST
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City | WEST CHESTER
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State | PA
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Zip | 19382-3386
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Country | US
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Telephone | 609-508-9477
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Fax |
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Provider Business Mailing Address
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Address Line | 225 S CHURCH ST
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City | WEST CHESTER
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State | PA
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Zip | 19382-3386
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Country | US
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Telephone | 609-508-9477
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARGUERITE E HENDRICKSON
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Credential |
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Telephone | 610-508-9477
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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 | CW013462
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License Number State | PA
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