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General NPI Number Information
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NPI Number | 1215791132
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Entity Type | Organization
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Legal Business Name | SARAH MITCHELL CHEN LCSW PLLC
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Dates
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Enumeration Date | 02/12/2024
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Last Update Date | 03/16/2024
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Provider Practice Location Address
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Address Line | 5855 N MAGNOLIA AVE APT 2
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City | CHICAGO
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State | IL
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Zip | 60660-3461
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Country | US
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Telephone | 312-872-4414
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Fax |
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Provider Business Mailing Address
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Address Line | 1055 W BRYN MAWR AVE STE F PMB 225
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City | CHICAGO
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State | IL
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Zip | 60660
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Country | US
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Telephone | 312-872-4414
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | SARAH COLLEEN MITCHELL CHEN
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Credential | LCSW
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Telephone | 810-618-3715
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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 |
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License Number State |
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