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General NPI Number Information
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NPI Number | 1255710695
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Entity Type | Individual
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Provider Name | MARIANNE CATHERINE FRITSCH LCSW
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Gender | Female
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Dates
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Enumeration Date | 05/19/2015
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Last Update Date | 07/01/2024
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Provider Practice Location Address
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Address Line | 360 MEMORIAL DR STE 130C
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City | CRYSTAL LAKE
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State | IL
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Zip | 60014-6291
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Country | US
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Telephone | 224-875-1225
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Fax |
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Provider Business Mailing Address
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Address Line | 360 MEMORIAL DR STE 130C
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City | CRYSTAL LAKE
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State | IL
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Zip | 60014-6291
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Country | US
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Telephone | 224-875-1225
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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 | 149.025117
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License Number State | IL
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