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General NPI Number Information
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NPI Number | 1255926317
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Entity Type | Organization
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Legal Business Name | LAURA BARON & ASSOCIATES, L.L.C.
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Dates
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Enumeration Date | 03/01/2021
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Last Update Date | 03/01/2021
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Provider Practice Location Address
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Address Line | 1818 DEMPSTER ST STE 7
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City | EVANSTON
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State | IL
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Zip | 60202-1003
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Country | US
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Telephone | 310-339-9557
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Fax |
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Provider Business Mailing Address
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Address Line | 9338 HARDING AVE
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City | EVANSTON
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State | IL
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Zip | 60203-1321
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Country | US
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Telephone | 847-737-5156
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | MS. LAURA L BARON
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Credential | LCSW
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Telephone | 847-737-5156
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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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