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General NPI Number Information
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NPI Number | 1467110478
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Entity Type | Individual
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Provider Name | LATONJA PICKETT MSW, LCSW
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Gender | Female
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Dates
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Enumeration Date | 12/07/2021
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 11 CONCORD COMMONS PL SW STE A16 STE 1013
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City | CONCORD
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State | NC
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Zip | 28027-5025
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Country | US
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Telephone | 704-323-6513
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Fax |
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Provider Business Mailing Address
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Address Line | 11 CONCORD COMMONS PL SW STE A16 STE 1013
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City | CONCORD
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State | NC
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Zip | 28027-0029
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Country | US
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Telephone | 704-323-6513
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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 | C018148
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License Number State | NC
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