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NPI 1316587504

NPI 1316587504 : CHRISTINE DENARO LCSW : SAN DIEGO, CA

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General NPI Number Information
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    NPI Number           |    1316587504
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTINE DENARO LCSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/15/2020
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    Last Update Date     |    03/25/2024
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Provider Practice Location Address
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    Address Line         |    3002 ARMSTRONG ST 
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    City                 |    SAN DIEGO
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    State                |    CA
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    Zip                  |    92111-5702
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    Country              |    US
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    Telephone            |    858-277-9550
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    311 WILLIAMSON RD STE 103 
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    City                 |    MOORESVILLE
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    State                |    NC
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    Zip                  |    28117-5967
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    Country              |    US
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    Telephone            |    704-360-3049
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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       |    P018767
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    License Number State |    NC
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Taxonomy #2
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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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