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General NPI Number Information
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NPI Number | 1043959240
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Entity Type | Individual
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Provider Name | BRIAH SNOWDEN LMSW, BS
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Gender | Female
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Dates
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Enumeration Date | 06/03/2022
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Last Update Date | 06/03/2022
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Provider Practice Location Address
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Address Line | 2151 W 79TH ST STE 2
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City | CHICAGO
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State | IL
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Zip | 60620-5723
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Country | US
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Telephone | 312-757-0608
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Fax |
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Provider Business Mailing Address
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Address Line | 1600 PINE ST APT 614
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City | SAINT LOUIS
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State | MO
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Zip | 63103-2373
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Country | US
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Telephone | 314-240-2104
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 150.107527
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License Number State | IL
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