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General NPI Number Information
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NPI Number | 1093025389
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Entity Type | Organization
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Legal Business Name | LORRAINE LABARRE, L.C.S.W.
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Dates
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Enumeration Date | 10/20/2010
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Last Update Date | 10/20/2010
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Provider Practice Location Address
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Address Line | 400 BAYONET ST SUITE 202
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City | NEW LONDON
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State | CT
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Zip | 06320-2600
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Country | US
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Telephone | 860-443-4163
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Fax |
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Provider Business Mailing Address
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Address Line | 400 BAYONET ST SUITE 202
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City | NEW LONDON
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State | CT
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Zip | 06320-2600
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Country | US
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Telephone | 860-443-4163
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Fax |
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Authorized Official
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Title or Position | LCSW
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Name | LORRAINE LABARRE
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Credential | MSW
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Telephone | 860-443-4163
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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 | 006236
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License Number State | CT
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