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General NPI Number Information
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NPI Number | 1528846136
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Entity Type | Individual
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Provider Name | PORTIA EUNIQUE SEALS LICSWA, LCSW, LMSW
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Gender | Female
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Dates
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Enumeration Date | 09/15/2023
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 7901 4TH ST N # 27758
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City | SAINT PETERSBURG
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State | FL
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Zip | 33702-4305
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Country | US
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Telephone | 216-400-4219
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Fax | 863-583-8524
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Provider Business Mailing Address
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Address Line | 100 N HOWARD ST STE R
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City | SPOKANE
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State | WA
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Zip | 99201-0508
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Country | US
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Telephone | 360-207-6043
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Fax | 863-583-8524
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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 | 34012217A
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License Number State | IN
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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 | SW24888
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | I.2507143
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801120551
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License Number State | MI
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CSW.09932175
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License Number State | CO
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Taxonomy #6
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6487C
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License Number State | AL
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Taxonomy #7
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LW70017504
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License Number State | WA
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