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General NPI Number Information
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NPI Number | 1467488684
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Entity Type | Individual
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Provider Name | DENISE FENWICK LCSW
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Gender | Female
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Dates
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Enumeration Date | 06/23/2006
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Last Update Date | 10/22/2020
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Provider Practice Location Address
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Address Line | 9401 SOUTHWEST FWY
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City | HOUSTON
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State | TX
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Zip | 77074-1407
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Country | US
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Telephone | 713-970-3354
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Fax |
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Provider Business Mailing Address
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Address Line | 5713 5TH STREET
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City | KATY
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State | TX
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Zip | 77493-1917
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Country | US
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Telephone | 281-543-2633
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Fax | 281-589-1388
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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 | 25622
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License Number State | TX
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