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General NPI Number Information
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NPI Number | 1194131490
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Entity Type | Individual
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Provider Name | STEPHANIE M. THOMPSON LISW-S
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Gender | Female
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Dates
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Enumeration Date | 07/08/2014
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 1000 S CLEVELAND MASSILLON RD STE 1
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City | FAIRLAWN
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State | OH
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Zip | 44333-9204
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Country | US
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Telephone | 330-754-4844
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Fax | 833-974-2062
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Provider Business Mailing Address
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Address Line | 1000 S CLEVELAND MASSILLON RD STE 1
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City | FAIRLAWN
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State | OH
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Zip | 44333-9204
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Country | US
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Telephone | 330-754-4844
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Fax | 833-974-2062
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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 | I.1600255-SUPV
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License Number State | OH
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