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General NPI Number Information
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NPI Number | 1023785946
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Entity Type | Individual
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Provider Name | LORI KATHLEEN LARCHER LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/27/2021
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Last Update Date | 11/24/2024
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Provider Practice Location Address
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Address Line | 1701 E LAKE AVE STE 245
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City | GLENVIEW
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State | IL
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Zip | 60025-2065
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Country | US
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Telephone | 773-234-5366
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Fax |
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Provider Business Mailing Address
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Address Line | 8060 N OTTAWA AVE
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City | NILES
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State | IL
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Zip | 60714-2814
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Country | US
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Telephone | 847-532-9633
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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 |
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License Number State |
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