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General NPI Number Information
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NPI Number | 1376695742
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Entity Type | Individual
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Provider Name | JEANNE C SZATKOWSKI LCSW, ADCL
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Gender | Female
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 01/08/2010
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Provider Practice Location Address
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Address Line | 115 5TH AVE S SUITE 301
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City | LA CROSSE
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State | WI
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Zip | 54601-9200
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Country | US
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Telephone | 608-785-0827
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Fax | 507-452-5183
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Provider Business Mailing Address
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Address Line | 111 MARKET ST SUITE 4A
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City | WINONA
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State | MN
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Zip | 55987-5532
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Country | US
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Telephone | 507-452-5033
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Fax | 507-452-5183
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 300436
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 4151-123
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 13911
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License Number State | WI
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