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General NPI Number Information
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NPI Number | 1316490790
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Entity Type | Organization
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Legal Business Name | ROBERTA SLOAN, LCSW, LLC
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Dates
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Enumeration Date | 08/02/2016
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Last Update Date | 08/02/2016
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Provider Practice Location Address
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Address Line | 145 WITHERSPOON ST SUITE C2
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City | PRINCETON
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State | NJ
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Zip | 08542-3228
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Country | US
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Telephone | 609-430-0450
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Fax | 609-430-0452
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Provider Business Mailing Address
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Address Line | 46 STURGES WAY
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City | PRINCETON
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State | NJ
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Zip | 08540-5335
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Country | US
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Telephone | 609-430-0450
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Fax | 609-430-0452
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Authorized Official
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Title or Position | CLINICAL SOCIAL WORKER / MANAGER
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Name | MS. ROBERTA SLOAN
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Credential | LCSW
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Telephone | 609-430-0450
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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 | 44SC05531900
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License Number State | NJ
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