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NPI 1184322919

NPI 1184322919 : AMELIE MORGAN LCSW PLLC : ROLLING MEADOWS, IL

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General NPI Number Information
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    NPI Number           |    1184322919
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    Entity Type          |    Organization 
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    Legal Business Name  |    AMELIE MORGAN LCSW PLLC 
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Dates
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    Enumeration Date     |    02/21/2023
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    Last Update Date     |    02/21/2023
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Provider Practice Location Address
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    Address Line         |    3701 ALGONQUIN RD 
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    City                 |    ROLLING MEADOWS
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    State                |    IL
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    Zip                  |    60008-3127
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    Country              |    US
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    Telephone            |    773-609-3823
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    440 AZALEA LN 
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    City                 |    HOFFMAN ESTATES
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    State                |    IL
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    Zip                  |    60169-4415
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     AMELIE  MORGAN 
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    Credential           |    
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    Telephone            |    773-609-3823
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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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