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General NPI Number Information
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NPI Number | 1396883757
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Entity Type | Individual
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Provider Name | MADISON LEIGH AKRIDGE LCSW
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Gender | Female
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 04/03/2025
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Provider Practice Location Address
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Address Line | 325 MEADOWLARK CIR
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City | STATESBORO
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State | GA
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Zip | 30461-6973
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Country | US
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Telephone | 662-403-7573
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Fax |
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Provider Business Mailing Address
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Address Line | 325 MEADOWLARK CIR
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City | STATESBORO
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State | GA
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Zip | 30461-6973
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Country | US
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Telephone | 901-361-3470
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Fax |
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | TLHT433
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License Number State | FL
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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 | CSW007244
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LSW0000006449
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License Number State | TN
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C9165
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License Number State | MS
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