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General NPI Number Information
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NPI Number | 1326868381
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Entity Type | Individual
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Provider Name | YANNICK LEJACQ LISW
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Gender | Male
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Dates
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Enumeration Date | 10/15/2024
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 3569 RIDGE RD
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City | CLEVELAND
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State | OH
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Zip | 44102-5443
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Country | US
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Telephone | 216-237-6158
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Fax |
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Provider Business Mailing Address
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Address Line | 17846 NORTHWOOD AVE APT 11
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City | LAKEWOOD
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State | OH
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Zip | 44107-2237
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Country | US
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Telephone | 917-797-6230
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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 | I.2405956
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License Number State | OH
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