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General NPI Number Information
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NPI Number | 1093007510
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Entity Type | Individual
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Provider Name | SYLVIA LAVONNE ALBERS LPC
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Gender | Female
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Dates
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Enumeration Date | 05/03/2011
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Last Update Date | 05/03/2011
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Provider Practice Location Address
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Address Line | 712 RIVARD ST. STE 102 FAMILY THERAPY ASSOCIATES
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City | SOMERSET
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State | WI
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Zip | 54025-7385
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Country | US
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Telephone | 715-338-2698
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Fax |
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Provider Business Mailing Address
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Address Line | 712 RIVARD ST SUITE 102 FAMILY THERAPY ASSOCIATES
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City | SOMERSET
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State | WI
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Zip | 54025
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Country | US
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Telephone | 715-338-2698
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2759-125
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License Number State | WI
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