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General NPI Number Information
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NPI Number | 1457668196
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Entity Type | Organization
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Legal Business Name | CAROL E. HOROWITZ, LCSW, LLC
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Dates
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Enumeration Date | 09/01/2010
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Last Update Date | 09/13/2012
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Provider Practice Location Address
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Address Line | 24 WEST AVE SUITE 306
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City | SPENCERPORT
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State | NY
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Zip | 14559-1344
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Country | US
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Telephone | 585-352-5450
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Fax | 585-352-5460
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Provider Business Mailing Address
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Address Line | 24 WEST AVE SUITE 306
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City | SPENCERPORT
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State | NY
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Zip | 14559-1344
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Country | US
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Telephone | 585-352-5450
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. CAROL E HOROWITZ
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Credential | LCSW
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Telephone | 585-352-5450
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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 | R052882
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License Number State | NY
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