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General NPI Number Information
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NPI Number | 1487819389
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Entity Type | Organization
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Legal Business Name | BARON COUNSELING AND CONSULTING, INC.
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Dates
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Enumeration Date | 07/21/2008
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Last Update Date | 12/07/2009
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Provider Practice Location Address
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Address Line | 1535 LAKE RD. 112 NORTHBROOK COURT PLAZA
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City | NORTHBROOK
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State | IL
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Zip | 60062
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Country | US
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Telephone | 847-272-5329
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Fax | 847-272-5342
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Provider Business Mailing Address
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Address Line | 1535 LAKE RD. 112 NORTHBROOK COURT PLAZA
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City | NORTHBROOK
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State | IL
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Zip | 60062
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Country | US
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Telephone | 847-272-5329
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Fax | 847-272-5342
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Authorized Official
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Title or Position | PRESIDENT - CLINICAL SOCIAL WORKER
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Name | MS. LISA D. BARON
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Credential | LCSW
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Telephone | 847-272-5329
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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 | 149003004
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License Number State | IL
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