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General NPI Number Information
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NPI Number | 1366126922
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Entity Type | Organization
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Legal Business Name | CAROLINE A COTTO LCSW LCAS PLLC
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Dates
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Enumeration Date | 06/14/2023
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Last Update Date | 11/19/2023
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Provider Practice Location Address
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Address Line | 1312 MATTHEWS MINT HILL RD # 205
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City | MATTHEWS
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State | NC
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Zip | 28105-4212
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Country | US
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Telephone | 252-917-2775
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Fax | 980-422-2775
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Provider Business Mailing Address
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Address Line | 300 LEAHY MILL CT
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City | WEDDINGTON
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State | NC
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Zip | 28104-9745
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Country | US
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Telephone | 252-917-2775
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Fax |
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Authorized Official
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Title or Position | OWNER/CINICIAN
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Name | CAROLINE COTTO
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Credential | LCSW LCAS CCS
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Telephone | 252-917-2775
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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