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General NPI Number Information
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NPI Number | 1144639667
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Entity Type | Individual
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Provider Name | LATRICIA ANDREWS-GILMAN LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/08/2014
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Last Update Date | 11/01/2022
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Provider Practice Location Address
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Address Line | 600 E BASELINE RD STE A-2
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City | TEMPE
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State | AZ
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Zip | 85283-1265
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Country | US
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Telephone | 480-966-0350
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 25964
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City | TEMPE
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State | AZ
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Zip | 85285-5964
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Country | US
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Telephone | 480-966-0350
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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 | LMSW-0659
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License Number State | AZ
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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 | LCSW-16193
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License Number State | AZ
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