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General NPI Number Information
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NPI Number | 1336996610
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Entity Type | Individual
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Provider Name | ANN SUSAN WILBEE LCSW
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Gender | Female
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Dates
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Enumeration Date | 05/03/2024
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Last Update Date | 11/02/2024
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Provider Practice Location Address
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Address Line | 28 N 1ST ST STE 201
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City | GENEVA
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State | IL
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Zip | 60134-2285
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Country | US
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Telephone | 630-884-8648
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Fax |
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Provider Business Mailing Address
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Address Line | 0N454 DOOLEY DR
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City | GENEVA
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State | IL
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Zip | 60134-6098
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Country | US
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Telephone | 630-235-3508
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 149.027182
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 150.107043
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 149.027182
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License Number State | IL
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