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General NPI Number Information
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NPI Number | 1104400332
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Entity Type | Organization
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Legal Business Name | KARA ZOOLAKIS LCSW-C LLC
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Dates
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Enumeration Date | 05/12/2021
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Last Update Date | 05/27/2021
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Provider Practice Location Address
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Address Line | 9199 REISTERSTOWN RD STE 204B
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City | OWINGS MILLS
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State | MD
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Zip | 21117-4593
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Country | US
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Telephone | 443-871-6042
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Fax |
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Provider Business Mailing Address
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Address Line | 2917 SHAWS RD
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City | EDGEMERE
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State | MD
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Zip | 21219-2411
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Country | US
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Telephone | 443-871-6042
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Fax |
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Authorized Official
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Title or Position | CLINICAL SOCIAL WORKER
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Name | KARA ZOOLAKIS
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Credential | LCSW-C
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Telephone | 443-871-6042
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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 |
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License Number State |
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