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NPI 1174569875

NPI 1174569875 : ELIZABETH HABERER L.C.S.W. : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1174569875
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    Entity Type          |    Individual 
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    Provider Name        |    ELIZABETH HABERER L.C.S.W.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/21/2006
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    Last Update Date     |    04/14/2008
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Provider Practice Location Address
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    Address Line         |    303 JACKSON HILL ST ROOM 225
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77007-7407
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    Country              |    US
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    Telephone            |    281-200-9216
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    Fax                  |    281-200-9170
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Provider Business Mailing Address
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    Address Line         |    303 JACKSON HILL ST 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77007-7407
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    Country              |    US
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    Telephone            |    281-200-9216
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    Fax                  |    281-200-9170
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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       |    34932
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    License Number State |    TX
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