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General NPI Number Information
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NPI Number | 1881977361
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Entity Type | Organization
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Legal Business Name | SHREWSBURY COUNSELING CENTER, LLC
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Dates
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Enumeration Date | 09/21/2011
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Last Update Date | 09/21/2011
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Provider Practice Location Address
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Address Line | 586 MAIN ST
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City | SHREWSBURY
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State | MA
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Zip | 01545-2920
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Country | US
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Telephone | 508-842-6711
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Fax | 508-842-8429
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Provider Business Mailing Address
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Address Line | 586 MAIN ST
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City | SHREWSBURY
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State | MA
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Zip | 01545-2920
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Country | US
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Telephone | 508-842-6711
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Fax | 508-842-8429
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Authorized Official
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Title or Position | PRESIDENT
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Name | SARAH COLE CAMERER
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Credential | LMHC
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Telephone | 508-842-6711
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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 | 113910
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 5531
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License Number State | MA
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