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General NPI Number Information
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NPI Number | 1447464037
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Entity Type | Organization
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Legal Business Name | CRISIS SOLUTIONS INC
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 70 WEST BURTON PLACE #1901
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City | CHICAGO
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State | IL
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Zip | 60610-1472
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Country | US
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Telephone | 312-280-9005
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Fax | 312-280-9052
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Provider Business Mailing Address
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Address Line | 70 WEST BURTON PLACE #1901
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City | CHICAGO
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State | IL
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Zip | 60610-1472
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Country | US
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Telephone | 312-280-9005
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Fax | 312-280-9052
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Authorized Official
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Title or Position | PRESIDENT DIRECTOR OF PROGRAM SERVI
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Name | MS. DOROTHY B MAYER
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Credential | LCSW
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Telephone | 312-280-9005
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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 | IL
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