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General NPI Number Information
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NPI Number | 1144632332
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Entity Type | Individual
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Provider Name | DANNIELLE S WILMOT LSW
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Gender | Female
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Dates
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Enumeration Date | 05/22/2014
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 600 MAPLE AVE STE 15
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City | HONESDALE
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State | PA
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Zip | 18431-1460
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Country | US
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Telephone | 570-253-8219
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Fax |
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Provider Business Mailing Address
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Address Line | 1838 FAIR AVE
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City | HONESDALE
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State | PA
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Zip | 18431-2122
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Country | US
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Telephone | 570-241-4731
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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 | CW025205
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License Number State | PA
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