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General NPI Number Information
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NPI Number | 1508012360
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Entity Type | Organization
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Legal Business Name | LAUREL LAFORCE, LSCW, CADC
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Dates
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Enumeration Date | 08/13/2008
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Last Update Date | 08/13/2008
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Provider Practice Location Address
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Address Line | 1300 W. BELMONT #314
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City | CHICAGO
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State | IL
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Zip | 60657
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Country | US
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Telephone | 773-880-1353
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Fax | 773-880-1323
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Provider Business Mailing Address
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Address Line | 1300 W. BELMONT #314
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City | CHICAGO
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State | IL
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Zip | 60657
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Country | US
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Telephone | 773-880-1353
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Fax | 773-880-1323
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Authorized Official
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Title or Position | LICENSED CLINICAL SOCIAL WORKER
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Name | LAUREL LAFORCE
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Credential |
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Telephone | 773-880-1353
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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 | 149-003342
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License Number State | IL
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