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General NPI Number Information
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NPI Number | 1487745030
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Entity Type | Individual
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Provider Name | CYNTHIA FRITZ LPC, LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 10/03/2013
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Provider Practice Location Address
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Address Line | 12147 NATURAL BRIDGE RD.
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City | BRIDGETON
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State | MO
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Zip | 63044
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Country | US
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Telephone | 314-298-0602
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Fax | 314-895-4641
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Provider Business Mailing Address
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Address Line | 12147 NATURAL BRIDGE RD.
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City | BRIDGETON
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State | MO
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Zip | 63044
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Country | US
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Telephone | 314-298-0602
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Fax | 314-895-4641
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 001104
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License Number State | MO
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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 | 004158
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License Number State | MO
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