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NPI 1326792888

NPI 1326792888 : EMILY MADISON ALLEN LCSW : ERIE, PA

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General NPI Number Information
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    NPI Number           |    1326792888
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    Entity Type          |    Individual 
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    Provider Name        |    EMILY MADISON ALLEN LCSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/03/2022
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    Last Update Date     |    05/06/2025
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Provider Practice Location Address
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    Address Line         |    502 W 7TH ST STE 100 
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    City                 |    ERIE
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    State                |    PA
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    Zip                  |    16502-1333
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    Country              |    US
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    Telephone            |    484-246-6079
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    502 W 7TH ST STE 100 
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    City                 |    ERIE
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    State                |    PA
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    Zip                  |    16502-1333
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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    |    
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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        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    CW024375
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    License Number State |    PA
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