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General NPI Number Information
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NPI Number | 1043598949
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Entity Type | Organization
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Legal Business Name | DEBBIE URSIN, LCSW, L. L. C.
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Dates
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Enumeration Date | 07/26/2011
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Last Update Date | 02/19/2014
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Provider Practice Location Address
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Address Line | 300 CODIFER BLVD SUITE C
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City | METAIRIE
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State | LA
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Zip | 70005-3725
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Country | US
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Telephone | 504-322-2489
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Fax | 504-322-2489
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Provider Business Mailing Address
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Address Line | 2600 METAIRIE CT
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City | METAIRIE
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State | LA
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Zip | 70002-6312
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Country | US
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Telephone | 504-322-2489
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Fax | 504-322-2489
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Authorized Official
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Title or Position | OWNER
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Name | MRS. MARCELLA L. URSIN
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Credential | MSW
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Telephone | 504-322-2489
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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 | 4076
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License Number State | LA
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