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General NPI Number Information
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NPI Number | 1205243706
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Entity Type | Organization
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Legal Business Name | JOYCE C MCINTOSH-THOMPSON, LCSW
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Dates
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Enumeration Date | 07/16/2014
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Last Update Date | 07/16/2014
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Provider Practice Location Address
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Address Line | 5100 N 6TH ST STE 142
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City | FRESNO
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State | CA
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Zip | 93710-7514
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Country | US
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Telephone | 559-270-0178
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Fax |
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Provider Business Mailing Address
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Address Line | 5100 N 6TH ST STE 142
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City | FRESNO
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State | CA
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Zip | 93710-7514
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Country | US
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Telephone | 559-270-0178
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Fax |
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Authorized Official
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Title or Position | LICENSED CLINICAL SOCIAL WORKER
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Name | JOYCE CAROL MCINTOSH-THOMPSON
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Credential | LCSW
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Telephone | 559-270-0178
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 26315
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License Number State | CA
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