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General NPI Number Information
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NPI Number | 1194271122
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Entity Type | Individual
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Provider Name | SYDNEY WRIGHT ESTES LCSW/LCAS/LISW/IBCLC
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Gender | Female
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Dates
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Enumeration Date | 08/30/2016
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Last Update Date | 09/12/2024
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Provider Practice Location Address
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Address Line | 2631 WHITEHALL CT
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City | ROCK HILL
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State | SC
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Zip | 29732-9048
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Country | US
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Telephone | 803-493-6973
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Fax |
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Provider Business Mailing Address
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Address Line | 2631 WHITEHALL CT
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City | ROCK HILL
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State | SC
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Zip | 29732-9048
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Country | US
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Telephone | 803-493-6973
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 24172
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | P012152
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 11811
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License Number State | SC
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Taxonomy #4
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Taxonomy Code | 174N00000X
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Taxonomy Name | Lactation Consultant (Non-RN)
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License Number | L-313968
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License Number State |
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