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General NPI Number Information
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NPI Number | 1306230800
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Entity Type | Organization
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Legal Business Name | APRIL D. CARLSON, MSW, LCSW, LLC
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Dates
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Enumeration Date | 03/23/2015
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Last Update Date | 03/23/2015
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Provider Practice Location Address
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Address Line | 445 JACKSON AVE SUITE 206
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City | NAPERVILLE
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State | IL
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Zip | 60540-5256
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Country | US
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Telephone | 630-420-2596
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Fax | 630-420-2796
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Provider Business Mailing Address
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Address Line | 445 JACKSON AVE SUITE 206
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City | NAPERVILLE
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State | IL
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Zip | 60540-5256
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Country | US
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Telephone | 630-420-2596
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Fax | 630-420-2796
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. APRIL D. CARLSON
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Credential | LCSW
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Telephone | 630-420-2596
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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 | 149.001225
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License Number State | IL
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