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General NPI Number Information
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NPI Number | 1417758806
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Entity Type | Individual
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Provider Name | LAURA ELISA KROLL LMSW
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Gender | Female
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Dates
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Enumeration Date | 03/21/2025
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Last Update Date | 10/11/2025
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Provider Practice Location Address
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Address Line | 9880 N 77TH AVE
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City | PEORIA
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State | AZ
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Zip | 85345-6667
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Country | US
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Telephone | 602-935-5154
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Fax |
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Provider Business Mailing Address
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Address Line | 14794 W SAND HILLS RD
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City | SURPRISE
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State | AZ
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Zip | 85387-1962
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Country | US
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Telephone | 714-987-8289
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | LCSW-23190
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License Number State | AZ
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