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General NPI Number Information
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NPI Number | 1144527458
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Entity Type | Organization
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Legal Business Name | ERICA MORGAN LLC
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Dates
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Enumeration Date | 02/22/2011
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Last Update Date | 02/22/2011
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Provider Practice Location Address
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Address Line | 112 INNWOOD DR SUITE G
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City | COVINGTON
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State | LA
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Zip | 70433-9134
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Country | US
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Telephone | 504-583-0461
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Fax | 985-892-0857
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Provider Business Mailing Address
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Address Line | PO BOX 1360
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City | ABITA SPRINGS
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State | LA
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Zip | 70420-1360
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Country | US
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Telephone | 504-583-0461
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Fax | 985-892-0857
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Authorized Official
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Title or Position | CLINICAL SOCIAL WORKER/SOLE PROPRIE
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Name | ERICA MORGAN DUFRENE
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Credential | L.C.S.W.
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Telephone | 504-583-0461
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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 | 4657
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License Number State | LA
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