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General NPI Number Information
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NPI Number | 1548164593
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Entity Type | Individual
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Provider Name | ELISE SEPE LICSW
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Gender | Female
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Dates
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Enumeration Date | 10/05/2026
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Last Update Date | 10/05/2026
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Provider Practice Location Address
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Address Line | 3204 62ND CT SE
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City | OLYMPIA
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State | WA
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Zip | 98501-8424
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Country | US
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Telephone | 509-720-4258
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Fax |
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Provider Business Mailing Address
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Address Line | 3204 62ND CT SE
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City | OLYMPIA
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State | WA
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Zip | 98501-8424
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Country | US
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Telephone | 509-720-4258
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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 | SWI.LW.70014600
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License Number State | WA
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