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General NPI Number Information
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NPI Number | 1902212335
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Entity Type | Organization
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Legal Business Name | SESSLEY COUNESLING SERVICES, INC
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Dates
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Enumeration Date | 07/07/2014
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Last Update Date | 07/07/2014
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Provider Practice Location Address
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Address Line | 41 SYCAMORE STA
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City | DECATUR
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State | GA
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Zip | 30030-2756
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Country | US
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Telephone | 770-355-3075
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4007
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City | DECATUR
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State | GA
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Zip | 30031-4007
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Country | US
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Telephone | 770-355-3075
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LESLIE SESSLEY
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Credential | LCSW
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Telephone | 770-355-3075
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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 | CSW004842
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License Number State | GA
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