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General NPI Number Information
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NPI Number | 1376063891
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Entity Type | Organization
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Legal Business Name | GLORIA C SOLORZANO, LCSW, LLC
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Dates
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Enumeration Date | 06/26/2017
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Last Update Date | 06/26/2017
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Provider Practice Location Address
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Address Line | 5001 HIGHWAY 190 EAST SERVICE RD STE D4
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City | COVINGTON
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State | LA
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Zip | 70433-4949
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Country | US
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Telephone | 504-289-8047
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Fax | 985-796-3181
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Provider Business Mailing Address
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Address Line | 12323 QUAGLINO RD
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City | FOLSOM
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State | LA
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Zip | 70437-7069
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Country | US
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Telephone | 985-796-3181
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Fax | 985-796-3181
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Authorized Official
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Title or Position | SOLE PROPRIETOR
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Name | MS. GLORIA C SOLORZANO
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Credential | LCSW
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Telephone | 504-289-8047
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 8998
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License Number State | LA
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