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NPI 1972366169

NPI 1972366169 : FERM COUNSELING : OAKLAND, MD

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General NPI Number Information
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    NPI Number           |    1972366169
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    Entity Type          |    Organization 
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    Legal Business Name  |    FERM COUNSELING 
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Dates
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    Enumeration Date     |    02/01/2024
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    Last Update Date     |    02/01/2024
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Provider Practice Location Address
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    Address Line         |    5000 THAYER CTR STE C 
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    City                 |    OAKLAND
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    State                |    MD
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    Zip                  |    21550-1139
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    Country              |    US
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    Telephone            |    443-228-6209
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5000 THAYER CTR STE C 
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    City                 |    OAKLAND
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    State                |    MD
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    Zip                  |    21550-1139
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRACTICE OWNER
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    Name                 |     REBECCA  FERM 
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    Credential           |    LCSW-C
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    Telephone            |    443-228-6209
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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       |    
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    License Number State |    
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