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General NPI Number Information
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NPI Number | 1023288321
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Entity Type | Organization
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Legal Business Name | M. LATHROP INC.
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Dates
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Enumeration Date | 03/03/2008
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Last Update Date | 03/03/2008
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Provider Practice Location Address
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Address Line | 4323 DIVISION ST SUITE 208
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City | METAIRIE
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State | LA
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Zip | 70002-3184
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Country | US
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Telephone | 504-239-1974
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Fax |
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Provider Business Mailing Address
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Address Line | 4323 DIVISION ST SUITE 208
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City | METAIRIE
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State | LA
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Zip | 70002-3184
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Country | US
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Telephone | 504-239-1974
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARIA CAMPBELL LATHROP-SKALOS
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Credential | LCSW, ASCW
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Telephone | 504-239-1974
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 3264
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License Number State | LA
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