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General NPI Number Information
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NPI Number | 1003957721
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Entity Type | Individual
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Provider Name | DEBORAH JEANNE MISCHO MSW
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Gender | Female
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Dates
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Enumeration Date | 02/08/2007
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Last Update Date | 02/14/2022
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Provider Practice Location Address
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Address Line | 2522 N PROCTOR ST # 151
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City | TACOMA
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State | WA
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Zip | 98406-5338
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Country | US
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Telephone | 206-414-8963
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Fax | 206-420-0332
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Provider Business Mailing Address
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Address Line | 3502 S 7TH ST
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City | TACOMA
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State | WA
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Zip | 98405-2221
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Country | US
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Telephone | 253-363-8484
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 25136
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LW60201229
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License Number State | WA
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