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NPI 1134768906

NPI 1134768906 : PAULA CASAS LCSW PC : EVANSTON, IL

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General NPI Number Information
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    NPI Number           |    1134768906
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    Entity Type          |    Organization 
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    Legal Business Name  |    PAULA CASAS LCSW PC 
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Dates
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    Enumeration Date     |    12/27/2019
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    Last Update Date     |    03/09/2020
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Provider Practice Location Address
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    Address Line         |    2530 CRAWFORD AVE STE 304 
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    City                 |    EVANSTON
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    State                |    IL
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    Zip                  |    60201-4972
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    Country              |    US
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    Telephone            |    847-864-1854
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    Fax                  |    847-869-8116
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Provider Business Mailing Address
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    Address Line         |    2530 CRAWFORD AVE STE 304 
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    City                 |    EVANSTON
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    State                |    IL
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    Zip                  |    60201-4972
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    Country              |    US
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    Telephone            |    
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    Fax                  |    847-869-8116
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Authorized Official
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    Title or Position    |    OWNER/THERAPIST
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    Name                 |    MS. PAULA  CASAS 
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    Credential           |    LCSW
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    Telephone            |    847-864-1854
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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       |    
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    License Number State |    
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