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NPI 1508293622

NPI 1508293622 : DEVON FORBES LCSW : HARTFORD, CT

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General NPI Number Information
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    NPI Number           |    1508293622
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    Entity Type          |    Individual 
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    Provider Name        |    DEVON FORBES LCSW
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/03/2013
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    Last Update Date     |    05/17/2022
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Provider Practice Location Address
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    Address Line         |    555 FRANKLIN AVE 
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    City                 |    HARTFORD
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    State                |    CT
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    Zip                  |    06114-3081
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    Country              |    US
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    Telephone            |    860-995-8330
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    Fax                  |    860-906-1040
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Provider Business Mailing Address
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    Address Line         |    199 MONTEMERLO AVE 
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    City                 |    WINDSOR LOCKS
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    State                |    CT
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    Zip                  |    06096-2727
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    Country              |    US
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    Telephone            |    860-995-8330
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    Fax                  |    860-906-1040
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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       |    00832
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    License Number State |    CT
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