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General NPI Number Information
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NPI Number | 1194058263
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Entity Type | Individual
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Provider Name | LISA MARI HUNT LCSW-C
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Gender | Female
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Dates
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Enumeration Date | 09/08/2009
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Last Update Date | 04/03/2025
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Provider Practice Location Address
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Address Line | 65 DUKE ST
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City | PRINCE FREDERICK
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State | MD
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Zip | 20678-6128
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Country | US
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Telephone | 443-295-8955
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Fax |
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Provider Business Mailing Address
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Address Line | 1936 RUSSELL AVE
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City | YOUNGSTOWN
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State | OH
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Zip | 44509-1627
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Country | US
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Telephone | 330-314-0602
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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 | 16136
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License Number State | MD
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