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General NPI Number Information
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NPI Number | 1922595560
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Entity Type | Organization
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Legal Business Name | KERRY-ANN FRANK, LCSW, LLC
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Dates
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Enumeration Date | 04/19/2018
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Last Update Date | 04/19/2018
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Provider Practice Location Address
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Address Line | 451 STATE ST
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City | NORTH HAVEN
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State | CT
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Zip | 06473-3070
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Country | US
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Telephone | 475-355-7655
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Fax |
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Provider Business Mailing Address
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Address Line | 65 RUSSO AVE UNIT A5
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City | EAST HAVEN
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State | CT
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Zip | 06513-2750
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Country | US
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Telephone | 475-355-7655
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KERRY-ANN FRANK
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Credential | LCSW
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Telephone | 203-535-2635
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State | CT
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