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General NPI Number Information
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NPI Number | 1487821682
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Entity Type | Organization
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Legal Business Name | THE CHILD AND FAMILY COUNSELING CENTER OF WESTLAKE
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Dates
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Enumeration Date | 05/15/2008
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Last Update Date | 05/15/2008
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Provider Practice Location Address
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Address Line | 1991 CROCKER RD SUITE 600
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City | WESTLAKE
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State | OH
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Zip | 44145-6969
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Country | US
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Telephone | 440-925-2819
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Fax |
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Provider Business Mailing Address
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Address Line | 1991 CROCKER RD SUITE 600
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City | WESTLAKE
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State | OH
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Zip | 44145-6969
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Country | US
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Telephone | 440-925-2819
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | LISA RUMAN
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Credential | LISW
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Telephone | 440-925-2819
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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