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General NPI Number Information
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NPI Number | 1346958121
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Entity Type | Individual
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Provider Name | SHAKYRA LAWSON LCSW
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Gender | Female
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Dates
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Enumeration Date | 11/09/2022
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Last Update Date | 11/09/2022
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Provider Practice Location Address
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Address Line | 2699 STIRLING RD STE C407
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City | FORT LAUDERDALE
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State | FL
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Zip | 33312-6592
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Country | US
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Telephone | 352-219-1318
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Fax |
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Provider Business Mailing Address
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Address Line | 6001 N FALLS CIRCLE DR APT 312
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City | LAUDERHILL
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State | FL
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Zip | 33319-6827
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Country | US
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Telephone | 352-219-1318
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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 | SW17778
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License Number State | FL
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