Provider Information for 1770856544
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KAREN POSSESSKY LCSW
Sex: Female
NPI: 1770856544
Last Updated: 2023-02-07
Certification Date: 2023-02-07
Certification Date: 2023-02-07
Details
Name | Value | ||||||||||||
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NPI | 1770856544 | ||||||||||||
Enumeration Date | 2012-02-09 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | YES | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | 5612 SMU BLVD SUITE 208 DALLAS, TX 75206-5098 United States Phone: 972-971-5279 | Fax:214-810-7076 | ||||||||||||
Primary Practice Address | 30 HOULTON ST PATTEN, ME 04765-3035 United States Phone: 207-538-3700 | Fax: | ||||||||||||
Secondary Practice Address(es) | 5612 SMU BLVD | ||||||||||||
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