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General NPI Number Information
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NPI Number | 1033995055
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Entity Type | Organization
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Legal Business Name | STEFANIE ZARGARBASHI LICENSED CLINICAL SOCIAL WORKER SERVICES CORP.
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Dates
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Enumeration Date | 09/05/2023
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Last Update Date | 10/20/2023
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Provider Practice Location Address
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Address Line | 13 WAXWING LN
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City | ALISO VIEJO
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State | CA
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Zip | 92656
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Country | US
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Telephone | 949-542-5105
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Fax | 949-552-5243
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Provider Business Mailing Address
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Address Line | 13 WAXWING LN
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City | ALISO VIEJO
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State | CA
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Zip | 92656-1797
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Country | US
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Telephone | 949-542-5105
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Fax |
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Authorized Official
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Title or Position | DIRECTOR/ CEO
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Name | STEFANIE ZARGARBASHI
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Credential | LCSW
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Telephone | 949-542-5105
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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 |
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License Number State |
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