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General NPI Number Information
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NPI Number | 1366757296
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Entity Type | Organization
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Legal Business Name | MARIA F MARS LISW MENTAL HEALTH COUNSELING LLC
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Dates
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Enumeration Date | 08/16/2010
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Last Update Date | 08/24/2010
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Provider Practice Location Address
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Address Line | 143 E WATER ST
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City | SANDUSKY
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State | OH
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Zip | 44870-2525
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Country | US
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Telephone | 440-865-2232
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Fax | 440-331-4745
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Provider Business Mailing Address
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Address Line | 22227 ARBOR CLIFF LN
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City | ROCKY RIVER
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State | OH
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Zip | 44116-1051
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Country | US
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Telephone | 440-865-2232
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Fax | 440-331-4745
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Authorized Official
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Title or Position | CLINICAL SOCIAL WORKER
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Name | MARIA F MARS
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Credential | LISW-S
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Telephone | 440-865-2232
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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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