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General NPI Number Information
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NPI Number | 1114139482
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Entity Type | Individual
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Provider Name | LISA MARIE BROWN LCSW
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Gender | Female
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 11/30/2022
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Provider Practice Location Address
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Address Line | 41 VILLAGE CT
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City | HAZLET
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State | NJ
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Zip | 07730-1535
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Country | US
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Telephone | 732-740-8983
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Fax |
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Provider Business Mailing Address
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Address Line | 41 VILLAGE CT
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City | HAZLET
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State | NJ
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Zip | 07730-1535
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Country | US
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Telephone | 732-740-8983
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 44SC05303700
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License Number State | NJ
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