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General NPI Number Information
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NPI Number | 1558034868
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Entity Type | Individual
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Provider Name | DESIREE L KABORE LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/01/2021
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Last Update Date | 01/27/2026
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Provider Practice Location Address
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Address Line | 203 JAY ST STE 105
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City | BROOKLYN
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State | NY
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Zip | 11201-4398
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Country | US
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Telephone | 347-304-9465
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Fax |
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Provider Business Mailing Address
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Address Line | 667 STONELEIGH AVE STE 202
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City | CARMEL
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State | NY
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Zip | 10512-2455
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Country | US
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Telephone |
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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 | 101724
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 113201
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | SW137731
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License Number State | PA
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