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General NPI Number Information
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NPI Number | 1811855182
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Entity Type | Organization
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Legal Business Name | ALYSON KORMAN LICSW
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Dates
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Enumeration Date | 01/14/2026
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Last Update Date | 01/14/2026
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Provider Practice Location Address
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Address Line | 65 CHURCH ST
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City | ORWELL
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State | VT
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Zip | 05760-9624
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Country | US
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Telephone | 856-924-1076
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Fax | 856-924-1076
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Provider Business Mailing Address
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Address Line | 65 CHURCH ST
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City | ORWELL
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State | VT
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Zip | 05760-9624
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Country | US
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Telephone | 856-924-1076
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Fax | 856-924-1076
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Authorized Official
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Title or Position | OWNER
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Name | ALYSON N KORMAN
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Credential | LCSW, LICSW
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Telephone | 856-924-1076
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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