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General NPI Number Information
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NPI Number | 1316453905
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Entity Type | Organization
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Legal Business Name | D.A.A.N.I PROFESSIONAL COUNSELING SERVICE LLC
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Dates
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Enumeration Date | 12/19/2017
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Last Update Date | 12/20/2017
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Provider Practice Location Address
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Address Line | 2943 N 52ND ST
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City | MILWAUKEE
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State | WI
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Zip | 53210-1610
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Country | US
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Telephone | 414-915-1395
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Fax |
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Provider Business Mailing Address
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Address Line | 2943 N 52ND ST
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City | MILWAUKEE
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State | WI
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Zip | 53210-1610
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | LATOYA S. LOVE
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Credential | LPC, CSAC
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Telephone | 414-915-1395
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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