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General NPI Number Information
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NPI Number | 1972115905
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Entity Type | Organization
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Legal Business Name | WEATHERING CHANGES PSYCHOTHERAPY LLC
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Dates
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Enumeration Date | 08/20/2020
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Last Update Date | 08/20/2020
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Provider Practice Location Address
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Address Line | 100 INTERNATIONAL DR FL 23
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City | BALTIMORE
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State | MD
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Zip | 21202-4737
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Country | US
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Telephone | 410-635-1815
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Fax |
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Provider Business Mailing Address
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Address Line | 24 N DECKER AVE
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City | BALTIMORE
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State | MD
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Zip | 21224-1353
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Country | US
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Telephone | 412-418-2504
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | MS. EMILY MARIE SWOVELAND
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Credential | LCSW-C
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Telephone | 410-635-1815
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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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