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General NPI Number Information
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NPI Number | 1366777526
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Entity Type | Organization
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Legal Business Name | LEESA L. SITTER BCSW, ACSW INC.
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Dates
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Enumeration Date | 10/06/2009
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Last Update Date | 10/06/2009
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Provider Practice Location Address
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Address Line | 820 JORDAN ST SUITE 220
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City | SHREVEPORT
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State | LA
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Zip | 71101-4519
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Country | US
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Telephone | 318-226-8753
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Fax | 318-226-8754
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Provider Business Mailing Address
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Address Line | 820 JORDAN ST SUITE 220
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City | SHREVEPORT
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State | LA
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Zip | 71101-4519
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Country | US
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Telephone | 318-226-8753
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Fax | 318-226-8754
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Authorized Official
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Title or Position | LCSW, OWNER
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Name | LEESA L. SITTER
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Credential | LCSW
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Telephone | 318-226-8753
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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 | 2279
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License Number State | LA
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