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NPI 1285744342

NPI 1285744342 : DONNA C BROWN LCSW : TORRINGTON, CT

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General NPI Number Information
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    NPI Number           |    1285744342
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    Entity Type          |    Individual 
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    Provider Name        |    DONNA C BROWN LCSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/30/2006
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    Last Update Date     |    12/21/2007
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Provider Practice Location Address
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    Address Line         |    540 LITCHFIELD ST 
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    City                 |    TORRINGTON
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    State                |    CT
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    Zip                  |    06790-6679
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    Country              |    US
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    Telephone            |    860-496-6360
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    365 MUNGER LN 
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    City                 |    BETHLEHEM
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    State                |    CT
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    Zip                  |    06751
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    Country              |    US
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    Telephone            |    203-266-6206
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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       |    006106
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    License Number State |    CT
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Taxonomy #2
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    Taxonomy Code        |    1041S0200X
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    Taxonomy Name        |    School Social Worker
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    License Number       |    071
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    License Number State |    CT
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