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General NPI Number Information
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NPI Number | 1346662616
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Entity Type | Individual
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Provider Name | CONNIE MARIE SPRIMONT LISW, MSW
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Gender | Female
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Dates
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Enumeration Date | 01/06/2014
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Last Update Date | 05/09/2023
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Provider Practice Location Address
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Address Line | 2100 ASBURY ROAT, SUITE 3
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City | DUBUQUE
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State | IA
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Zip | 52001-5200
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Country | US
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Telephone | 563-277-3232
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Fax | 563-519-6491
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Provider Business Mailing Address
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Address Line | 2100 ASBURY RD STE 3
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City | DUBUQUE
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State | IA
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Zip | 52001-3091
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Country | US
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Telephone | 563-513-1485
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Fax | 563-519-6491
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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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 | 04491
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License Number State | IA
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