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General NPI Number Information
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NPI Number | 1255041695
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Entity Type | Organization
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Legal Business Name | JULIE SCHWEBKE MSW, LLC
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Dates
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Enumeration Date | 11/28/2022
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Last Update Date | 02/07/2023
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Provider Practice Location Address
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Address Line | 6975 REDANSA DR
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City | ROCKFORD
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State | IL
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Zip | 61108-1201
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Country | US
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Telephone | 815-398-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 16721 RAMSEY RD
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City | CALEDONIA
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State | IL
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Zip | 61011-9538
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Country | US
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Telephone | 815-289-6817
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JULIE ANN SCHWEBKE
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Credential | LCSW
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Telephone | 815-289-6817
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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