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General NPI Number Information
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NPI Number | 1972498434
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Entity Type | Organization
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Legal Business Name | MAMA MIND, LLC
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Dates
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Enumeration Date | 06/12/2025
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Last Update Date | 07/03/2025
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Provider Practice Location Address
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Address Line | 37 ROLFE SQ
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City | CRANSTON
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State | RI
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Zip | 02910-2809
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Country | US
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Telephone | 401-419-0363
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Fax | 401-427-4207
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Provider Business Mailing Address
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Address Line | 37 ROLFE SQ
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City | CRANSTON
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State | RI
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Zip | 02910-2809
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Country | US
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Telephone | 401-419-0363
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Fax | 401-427-4207
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Authorized Official
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Title or Position | LICENSED INDEPENDENT CLINICAL SW
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Name | MS. MICHELE BAILEY CHAUDHRY
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Credential | MSW, MPH
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Telephone | 401-419-0363
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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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