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General NPI Number Information
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NPI Number | 1205053915
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Entity Type | Individual
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Provider Name | LOUISE M NADEAU LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/20/2007
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Last Update Date | 02/02/2021
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Provider Practice Location Address
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Address Line | 104 E MAIN ST
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City | FORT KENT
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State | ME
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Zip | 04743
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Country | US
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Telephone | 207-834-3186
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Fax | 207-834-7190
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Provider Business Mailing Address
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Address Line | 180 ACADEMY ST STE 3
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City | PRESQUE ISLE
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State | ME
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Zip | 04769-3183
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Country | US
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Telephone | 207-554-2352
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Fax | 207-554-2351
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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 | LC13580
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License Number State | ME
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