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General NPI Number Information
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NPI Number | 1952990152
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Entity Type | Organization
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Legal Business Name | JUST THERAPY, LLC
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Dates
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Enumeration Date | 01/12/2021
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Last Update Date | 02/10/2021
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Provider Practice Location Address
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Address Line | 341 E CENTER ST STE 255
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City | MANCHESTER
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State | CT
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Zip | 06040-4484
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Country | US
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Telephone | 860-796-6695
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Fax |
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Provider Business Mailing Address
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Address Line | 341 E CENTER ST STE 255
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City | MANCHESTER
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State | CT
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Zip | 06040-4484
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Country | US
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Telephone | 860-796-6695
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Fax | 860-200-0784
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Authorized Official
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Title or Position | OWNER/CLINICIAN
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Name | LAUREN MILLERD
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Credential | LCSW
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Telephone | 860-796-6695
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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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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