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NPI 1861186991

NPI 1861186991 : VALOR COUNSELING AND CONSULTATION SERVICES, LLC : BURLINGTON, MA

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General NPI Number Information
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    NPI Number           |    1861186991
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    Entity Type          |    Organization 
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    Legal Business Name  |    VALOR COUNSELING AND CONSULTATION SERVICES, LLC 
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Dates
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    Enumeration Date     |    06/02/2023
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    Last Update Date     |    10/02/2024
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Provider Practice Location Address
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    Address Line         |    2 BURLINGTON WOODS DR STE 100 
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    City                 |    BURLINGTON
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    State                |    MA
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    Zip                  |    01803-4551
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    Country              |    US
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    Telephone            |    781-697-6330
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2 BURLINGTON WOODS DR STE 100 
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    City                 |    BURLINGTON
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    State                |    MA
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    Zip                  |    01803-4551
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    Country              |    US
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    Telephone            |    781-697-6330
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    Fax                  |    
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Authorized Official
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    Title or Position    |    DIRECTOR
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    Name                 |     ANNETTE KAZIBWE  NAZZIWA 
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    Credential           |    LICSW
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    Telephone            |    781-697-6330
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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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