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General NPI Number Information
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NPI Number | 1841140688
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Entity Type | Organization
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Legal Business Name | LIGHT AS A FEATHER THERAPY
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Dates
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Enumeration Date | 01/31/2026
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Last Update Date | 01/31/2026
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Provider Practice Location Address
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Address Line | 2224 NORTHWESTERN AVE STE 112
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City | RACINE
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State | WI
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Zip | 53404-0007
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Country | US
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Telephone | 262-822-9939
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Fax |
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Provider Business Mailing Address
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Address Line | 2224 NORTHWESTERN AVE STE 112
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City | RACINE
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State | WI
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Zip | 53404-0007
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Country | US
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Telephone | 262-822-9939
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | MS. SARAH M JAECK
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Credential | LCSW, SAC
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Telephone | 262-822-9939
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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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