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General NPI Number Information
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NPI Number | 1861263014
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Entity Type | Organization
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Legal Business Name | STRICTLY THERAPY
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Dates
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Enumeration Date | 01/15/2024
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Last Update Date | 01/15/2024
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Provider Practice Location Address
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Address Line | 4629 DEEPWOOD CT # 113C
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City | BOWIE
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State | MD
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Zip | 20720-3488
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Country | US
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Telephone | 240-343-4587
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Fax |
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Provider Business Mailing Address
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Address Line | 4629 DEEPWOOD CT # 113C
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City | BOWIE
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State | MD
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Zip | 20720-3488
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Country | US
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Telephone | 240-343-4587
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Fax |
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Authorized Official
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Title or Position | COUNSELOR/THERAPIST
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Name | MS. ALFAYE ANN MARIE NASH
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Credential | LGSW
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Telephone | 240-343-4587
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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