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General NPI Number Information
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NPI Number | 1881885259
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Entity Type | Organization
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Legal Business Name | MARJORIE R. MAYER, LCSW
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Dates
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Enumeration Date | 08/09/2007
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Last Update Date | 08/09/2007
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Provider Practice Location Address
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Address Line | 208 HARRIS RD APT HA5
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City | BEDFORD HILLS
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State | NY
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Zip | 10507-2118
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Country | US
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Telephone | 914-666-6909
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Fax |
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Provider Business Mailing Address
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Address Line | 208 HARRIS RD APT HA5
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City | BEDFORD HILLS
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State | NY
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Zip | 10507-2118
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Country | US
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Telephone | 914-666-6909
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. MARJORIE R. MAYER
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Credential | LCSW
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Telephone | 914-666-6909
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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 | RO33372-1
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License Number State | NY
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