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General NPI Number Information
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NPI Number | 1114199031
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Entity Type | Organization
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Legal Business Name | LIVING TRUTH COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 04/01/2008
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Last Update Date | 06/03/2008
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Provider Practice Location Address
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Address Line | 10820 SUNSET OFFICE DR SUITE 108
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City | SAINT LOUIS
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State | MO
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Zip | 63127-1016
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Country | US
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Telephone | 314-215-9255
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Fax | 314-822-5200
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Provider Business Mailing Address
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Address Line | PO BOX 440043
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City | SAINT LOUIS
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State | MO
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Zip | 63144-0443
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Country | US
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Telephone | 314-215-9255
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | SARAH JAYNE BUEK
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Credential | LCSW
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Telephone | 314-215-9255
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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 | 2006012973
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License Number State | MO
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