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General NPI Number Information
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NPI Number | 1972001618
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Entity Type | Organization
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Legal Business Name | FISHER FAMILY SOLUTIONS LLC
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Dates
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Enumeration Date | 01/29/2018
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 1757 W C ST
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City | TORRINGTON
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State | WY
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Zip | 82240-3215
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Country | US
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Telephone | 307-286-1407
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Fax |
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Provider Business Mailing Address
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Address Line | 1757 W C ST
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City | TORRINGTON
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State | WY
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Zip | 82240-3215
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Country | US
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Telephone | 307-286-1407
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | STEPHANIE MARIE FISHER
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Credential | MHC, LLC
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Telephone | 307-286-1407
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 1646
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License Number State | WY
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