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General NPI Number Information
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NPI Number | 1134363138
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Entity Type | Individual
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Provider Name | MICAH MICHELLE MUNRO LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/22/2009
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 122 WINTHROP PL
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City | NEW ORLEANS
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State | LA
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Zip | 70119-1921
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Country | US
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Telephone | 303-887-3192
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Fax |
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Provider Business Mailing Address
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Address Line | 122 WINTHROP PL
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City | NEW ORLEANS
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State | LA
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Zip | 70119-1921
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Country | US
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Telephone | 303-887-3192
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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 | 362
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CW023712
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | 362
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 18161
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License Number State | LA
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