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General NPI Number Information
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NPI Number | 1942126941
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Entity Type | Organization
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Legal Business Name | GRACED FOR THE JOURNEY, LLC
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Dates
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Enumeration Date | 06/25/2026
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Last Update Date | 06/26/2026
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Provider Practice Location Address
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Address Line | 3261 OLD WASHINGTON RD STE 2020
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City | WALDORF
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State | MD
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Zip | 20602-3231
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Country | US
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Telephone | 301-375-0548
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 34
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City | BRANDYWINE
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State | MD
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Zip | 20613-0034
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SOCIAL WORKER, CLINICAL
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Name | ELEANA STEWART
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Credential | LCSW-C
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Telephone | 301-375-0548
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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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