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General NPI Number Information
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NPI Number | 1912067398
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Entity Type | Organization
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Legal Business Name | PERSONAL SOLUTIONS, LLC
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Dates
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Enumeration Date | 12/08/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1707 N MOUNT AUBURN RD SUITE K
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City | CAPE GIRARDEAU
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State | MO
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Zip | 63701-2169
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Country | US
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Telephone | 573-335-0570
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Fax | 573-335-8559
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Provider Business Mailing Address
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Address Line | 1707 N MOUNT AUBURN RD SUITE K
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City | CAPE GIRARDEAU
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State | MO
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Zip | 63701-2169
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Country | US
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Telephone | 573-335-0570
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Fax | 573-335-8559
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Authorized Official
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Title or Position | OWNER
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Name | MATILDE MASSANA STONE
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Credential | LCSW
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Telephone | 573-335-0570
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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 | 000746
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0005083
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW 5084
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 000686
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License Number State | MO
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Taxonomy #5
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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 | IL
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Taxonomy #6
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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 | IL
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