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General NPI Number Information
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NPI Number | 1861081044
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Entity Type | Organization
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Legal Business Name | GROWTH ORIENTED COUNSELING AND CONSULTING, LLC
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Dates
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Enumeration Date | 01/13/2021
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Last Update Date | 01/13/2021
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Provider Practice Location Address
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Address Line | 11414 W PARK PL STE 248
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City | MILWAUKEE
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State | WI
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Zip | 53224-3500
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Country | US
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Telephone | 414-502-8718
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Fax |
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Provider Business Mailing Address
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Address Line | 6555 N 113TH ST
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City | MILWAUKEE
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State | WI
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Zip | 53224-5048
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Country | US
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Telephone | 414-795-3613
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Fax |
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Authorized Official
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Title or Position | CO-OWNER AND BILLING MANAGER
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Name | MRS. ADRIENNE L WOODS
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Credential |
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Telephone | 414-795-3613
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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