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General NPI Number Information
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NPI Number | 1952125957
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Entity Type | Individual
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Provider Name | KAYLA I HANDBERRY LMSW
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Gender | Female
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Dates
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Enumeration Date | 11/14/2024
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Last Update Date | 11/14/2024
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Provider Practice Location Address
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Address Line | 10 COBBLE CT OFC 2
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City | LITCHFIELD
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State | CT
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Zip | 06759-3538
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Country | US
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Telephone | 475-256-9056
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Fax |
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Provider Business Mailing Address
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Address Line | 52 CHARLES ST
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City | NEW BRITAIN
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State | CT
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Zip | 06051-2177
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Country | US
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Telephone | 475-256-9056
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 10481
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License Number State | CT
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