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General NPI Number Information
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NPI Number | 1205988680
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Entity Type | Individual
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Provider Name | JOAN M YELANJIAN LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 5007 S HOWELL AVE STE 350
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City | MILWAUKEE
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State | WI
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Zip | 53207-6159
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Country | US
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Telephone | 262-999-3495
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Fax |
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Provider Business Mailing Address
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Address Line | 625 MICHIGAN AVE
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City | SOUTH MILWAUKEE
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State | WI
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Zip | 53172-2724
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Country | US
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Telephone | 414-762-7297
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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 | 2316123
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License Number State | WI
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