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General NPI Number Information
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NPI Number | 1508581455
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Entity Type | Organization
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Legal Business Name | JENNIFER LANOUETTE LCSW
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Dates
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Enumeration Date | 10/04/2022
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Last Update Date | 10/04/2022
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Provider Practice Location Address
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Address Line | 105 N VIRGINIA AVE STE 306
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City | FALLS CHURCH
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State | VA
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Zip | 22046-3342
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Country | US
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Telephone | 703-981-9070
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Fax |
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Provider Business Mailing Address
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Address Line | 304 S HIGHLAND ST
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City | ARLINGTON
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State | VA
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Zip | 22204-2054
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Country | US
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Telephone | 703-981-9070
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JENNIFER LANOUETTE
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Credential |
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Telephone | 703-981-9070
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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 |
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License Number State |
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