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NPI 1457798464

NPI 1457798464 : MONICA OSBORNE LCSW : BROOKLYN, NY

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General NPI Number Information
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    NPI Number           |    1457798464
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    Entity Type          |    Individual 
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    Provider Name        |    MONICA OSBORNE LCSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/30/2013
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    Last Update Date     |    08/22/2022
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Provider Practice Location Address
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    Address Line         |    181 N 11TH ST SUITE 404
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    City                 |    BROOKLYN
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    State                |    NY
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    Zip                  |    11211-1100
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    Country              |    US
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    Telephone            |    973-454-8002
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    181 N 11TH ST APT 203 
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    City                 |    BROOKLYN
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    State                |    NY
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    Zip                  |    11211-1142
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    Country              |    US
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    Telephone            |    973-454-8002
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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        |    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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Taxonomy #2
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    080263
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    License Number State |    NY
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