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General NPI Number Information
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NPI Number | 1518725837
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Entity Type | Individual
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Provider Name | GLORIA E EMERSON LCSW
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Gender | Female
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Dates
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Enumeration Date | 03/11/2024
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 67 S HIGLEY RD STE 103-479
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City | GILBERT
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State | AZ
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Zip | 85296-1166
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Country | US
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Telephone | 602-456-9848
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Fax |
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Provider Business Mailing Address
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Address Line | 67 S HIGLEY RD STE 103-479
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City | GILBERT
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State | AZ
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Zip | 85296-1166
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Country | US
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Telephone | 602-456-9848
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Fax |
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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 | 6801117448
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW-22757
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License Number State | AZ
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