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General NPI Number Information
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NPI Number | 1407507247
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Entity Type | Organization
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Legal Business Name | KAREN TINSLEY, A LICENSED CLINICAL SOCIAL WORKER, PROFESSIONAL CORP
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Dates
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Enumeration Date | 01/13/2022
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Last Update Date | 03/31/2022
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Provider Practice Location Address
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Address Line | 1605 HOPE ST STE 210
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City | SOUTH PASADENA
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State | CA
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Zip | 91030-2670
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Country | US
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Telephone | 310-922-0044
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 60391
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City | PASADENA
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State | CA
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Zip | 91116-6391
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Country | US
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Telephone | 310-922-0044
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | KAREN TINSLEY
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Credential | LCSW
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Telephone | 310-922-0044
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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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