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General NPI Number Information
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NPI Number | 1841928694
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Entity Type | Organization
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Legal Business Name | THE COLLECTIVE WE, LLC
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Dates
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Enumeration Date | 08/10/2022
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Last Update Date | 08/10/2022
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Provider Practice Location Address
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Address Line | 126 MAIN ST # 571
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City | WATERTOWN
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State | MA
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Zip | 02472-4416
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Country | US
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Telephone | 508-293-1118
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Fax |
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Provider Business Mailing Address
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Address Line | 126 MAIN ST # 571
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City | WATERTOWN
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State | MA
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Zip | 02472-4416
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CO-OWNER & MENTAL HEALTH CLINICIAN
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Name | SHERRI MICHAUD
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Credential | LICSW
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Telephone | 508-293-1118
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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