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General NPI Number Information
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NPI Number | 1093673956
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Entity Type | Organization
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Legal Business Name | STONE AND THISTLE LLC
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Dates
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Enumeration Date | 01/12/2026
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 2102 E 38TH ST
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City | DAVENPORT
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State | IA
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Zip | 52807-1135
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Country | US
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Telephone | 309-737-1853
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Fax |
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Provider Business Mailing Address
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Address Line | 1401 28TH AVE
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City | MOLINE
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State | IL
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Zip | 61265-6026
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Country | US
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Telephone | 309-737-1853
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Fax |
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Authorized Official
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Title or Position | OWNER, LIC. CLINICAL SOCIAL WORKER
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Name | ELIZABETH ANNE STONE
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Credential | LISW, LCSW
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Telephone | 309-737-1853
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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