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General NPI Number Information
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NPI Number | 1922987783
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Entity Type | Organization
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Legal Business Name | AGARCIA & CO THERAPEUTIC CONSULTING
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Dates
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Enumeration Date | 08/27/2025
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 112 ANTHONY AVE
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City | PAWTUCKET
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State | RI
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Zip | 02860-5037
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Country | US
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Telephone | 401-365-8490
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Fax |
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Provider Business Mailing Address
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Address Line | 112 ANTHONY AVE
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City | PAWTUCKET
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State | RI
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Zip | 02860-5037
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Country | US
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Telephone | 401-365-8490
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | AMANDA MARIE GARCIA
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Credential | LICSW
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Telephone | 401-365-8490
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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 |
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License Number State |
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