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General NPI Number Information
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NPI Number | 1992067227
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Entity Type | Organization
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Legal Business Name | CLEARVIEW COUNSELING, LLC
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Dates
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Enumeration Date | 06/12/2012
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Last Update Date | 06/30/2012
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Provider Practice Location Address
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Address Line | 53 RIVER ST SUITE 11
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City | MILFORD
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State | CT
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Zip | 06460-3346
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Country | US
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Telephone | 203-581-2068
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Fax |
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Provider Business Mailing Address
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Address Line | 554 BOSTON POST RD # 217
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City | ORANGE
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State | CT
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Zip | 06477-3341
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Country | US
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Telephone | 203-581-2068
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARY M GEORGETTE
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Credential | LMFT
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Telephone | 203-581-2068
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 001440
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License Number State | CT
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