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General NPI Number Information
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NPI Number | 1447482393
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Entity Type | Individual
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Provider Name | LORI RENEE VARGO CSW
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Gender | Female
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Dates
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Enumeration Date | 08/11/2009
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Last Update Date | 08/11/2009
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Provider Practice Location Address
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Address Line | 105 E FRONT ST SUITE 204
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City | MONROE
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State | MI
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Zip | 48161-2477
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Country | US
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Telephone | 734-240-0372
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Fax | 734-481-0090
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Provider Business Mailing Address
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Address Line | 105 E FRONT ST SUITE 204
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City | MONROE
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State | MI
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Zip | 48161-2477
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Country | US
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Telephone | 734-240-0372
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Fax | 734-481-0090
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | L1532194
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License Number State | MI
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