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General NPI Number Information
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NPI Number | 1982513925
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Entity Type | Organization
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Legal Business Name | SOMATIC GROVE THERAPY
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Dates
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Enumeration Date | 09/04/2026
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Last Update Date | 09/04/2026
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Provider Practice Location Address
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Address Line | 39 E MAIN ST
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City | MARLTON
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State | NJ
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Zip | 08053-2154
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Country | US
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Telephone | 856-446-4454
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Fax |
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Provider Business Mailing Address
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Address Line | 19 ISABELLE CT
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City | MARLTON
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State | NJ
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Zip | 08053-5623
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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 | COUNSELOR
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Name | JULIA MICHAELA HATCH
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Credential | LPC
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Telephone | 856-506-6774
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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