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General NPI Number Information
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NPI Number | 1831902907
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Entity Type | Organization
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Legal Business Name | CEDAR TREE EMPOWERMENT CENTER LLC
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Dates
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Enumeration Date | 01/30/2025
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 16507A NORTHCROSS DR STE 109
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City | HUNTERSVILLE
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State | NC
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Zip | 28078-5081
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Country | US
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Telephone | 704-284-7330
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Fax |
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Provider Business Mailing Address
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Address Line | 4685 HACKBERRY GROVE CIR APT 1836
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City | CHARLOTTE
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State | NC
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Zip | 28269-2434
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Country | US
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Telephone | 929-204-6983
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | AYSIA ALLEN
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Credential | LCSW
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Telephone | 704-284-7330
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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 |
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License Number State |
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