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General NPI Number Information
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NPI Number | 1245756295
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Entity Type | Organization
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Legal Business Name | LKN COUNSELING AND SEX THERAPY, PLLC.
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Dates
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Enumeration Date | 08/21/2017
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Last Update Date | 04/27/2018
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Provider Practice Location Address
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Address Line | 110 CHARLESTON DR UNIT 109108
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City | MOORESVILLE
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State | NC
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Zip | 28117-7700
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Country | US
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Telephone | 980-444-0806
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Fax | 206-350-6056
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Provider Business Mailing Address
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Address Line | 110 CHARLESTON DR UNIT 109108
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City | MOORESVILLE
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State | NC
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Zip | 28117-7700
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Country | US
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Telephone | 980-444-0806
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Fax | 206-350-6056
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Authorized Official
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Title or Position | OWNER
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Name | DR. PATRICIA LITTWIN
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Credential | PSY.D., LPC, CST
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Telephone | 980-475-0560
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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 | C010304
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 17171
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 9293
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License Number State | NC
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