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General NPI Number Information
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NPI Number | 1104921683
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Entity Type | Organization
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Legal Business Name | MARY BETH MCLAUGHLIN,LTD
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Dates
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Enumeration Date | 09/13/2006
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 1300 IROQUOIS AVE STE 145
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City | NAPERVILLE
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State | IL
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Zip | 60563-1389
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Country | US
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Telephone | 630-305-0464
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Fax | 630-305-0211
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Provider Business Mailing Address
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Address Line | 1300 IROQUOIS AVE STE 145
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City | NAPERVILLE
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State | IL
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Zip | 60563-1389
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Country | US
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Telephone | 630-305-0464
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Fax | 630-305-0211
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Authorized Official
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Title or Position | OWNER
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Name | MARY BETH MCLAUGHLIN
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Credential | MA, LCSW
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Telephone | 630-305-0464
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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 | 149-002815
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License Number State | IL
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