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General NPI Number Information
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NPI Number | 1114301272
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Entity Type | Individual
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Provider Name | DWAN MILAM-REED PHD., LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/17/2015
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Last Update Date | 03/27/2017
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Provider Practice Location Address
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Address Line | 6302 LAVER LOVE DR
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City | SPRING
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State | TX
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Zip | 77379-2904
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Country | US
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Telephone | 832-928-5173
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Fax | 832-717-4267
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Provider Business Mailing Address
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Address Line | 6302 LAVER LOVE DR
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City | SPRING
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State | TX
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Zip | 77379-2904
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Country | US
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Telephone | 832-928-5173
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Fax | 832-717-4267
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 22499
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License Number State | TX
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