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General NPI Number Information
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NPI Number | 1063657351
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Entity Type | Individual
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Provider Name | LYNN LEANN BARRETTE LCSW
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Gender | Female
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Dates
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Enumeration Date | 12/16/2008
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Last Update Date | 12/19/2011
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Provider Practice Location Address
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Address Line | 662 E NORTHWEST HWY
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City | MOUNT PROSPECT
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State | IL
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Zip | 60056-3307
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Country | US
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Telephone | 224-828-9877
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Fax |
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Provider Business Mailing Address
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Address Line | 2730 N BRIGHTON PL
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60004-2144
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Country | US
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Telephone | 248-515-2235
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Fax | 224-764-2281
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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 | 6801090195
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License Number State | MI
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 149.015028
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License Number State | IL
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