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General NPI Number Information
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NPI Number | 1942512975
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Entity Type | Organization
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Legal Business Name | CHILDREN IN CRISIS IN DORCHESTER COUNTY, INC.
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Dates
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Enumeration Date | 07/07/2010
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Last Update Date | 07/07/2010
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Provider Practice Location Address
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Address Line | 303 E RICHARDSON AVE
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City | SUMMERVILLE
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State | SC
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Zip | 29483-6336
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Country | US
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Telephone | 843-875-1551
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Fax | 843-851-5963
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Provider Business Mailing Address
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Address Line | 303 E RICHARDSON AVE
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City | SUMMERVILLE
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State | SC
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Zip | 29483-6336
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Country | US
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Telephone | 843-875-1551
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Fax | 843-851-5963
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DR. KAY W PHILLIPS
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Credential | PH.D, LISW-CP
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Telephone | 843-875-1551
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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 |
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