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NPI 1851900641

NPI 1851900641 : TEAMER COUNSELING, LCSW, P.C. : POUGHKEEPSIE, NY

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General NPI Number Information
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    NPI Number           |    1851900641
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    Entity Type          |    Organization 
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    Legal Business Name  |    TEAMER COUNSELING, LCSW, P.C. 
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Dates
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    Enumeration Date     |    07/28/2020
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    Last Update Date     |    07/28/2020
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Provider Practice Location Address
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    Address Line         |    24 AUSTIN CT 
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    City                 |    POUGHKEEPSIE
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    State                |    NY
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    Zip                  |    12603-3628
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    Country              |    US
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    Telephone            |    845-206-4046
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    Fax                  |    845-206-4046
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Provider Business Mailing Address
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    Address Line         |    24 AUSTIN CT 
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    City                 |    POUGHKEEPSIE
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    State                |    NY
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    Zip                  |    12603-3628
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    Country              |    US
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    Telephone            |    845-206-4046
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    Fax                  |    845-206-4046
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     TIFFANY DEMICHELE TEAMER 
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    Credential           |    LCSW-R
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    Telephone            |    845-206-4046
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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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