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NPI 1346640026

NPI 1346640026 : ANGELYNN MARIE HERMES LCSW : TUCSON, AZ

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General NPI Number Information
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    NPI Number           |    1346640026
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    Entity Type          |    Individual 
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    Provider Name        |    ANGELYNN MARIE HERMES LCSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/29/2014
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    Last Update Date     |    12/09/2025
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Provider Practice Location Address
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    Address Line         |    4764 E SUNRISE DR UNIT 430 
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    City                 |    TUCSON
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    State                |    AZ
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    Zip                  |    85718-4535
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    Country              |    US
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    Telephone            |    520-235-6656
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4764 E SUNRISE DR UNIT 430 
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    City                 |    TUCSON
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    State                |    AZ
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    Zip                  |    85718-4535
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    Country              |    US
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    Telephone            |    520-235-6656
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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       |    19681
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    License Number State |    AZ
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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       |    1140818
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    License Number State |    MA
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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       |    88997
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    License Number State |    CA
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