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General NPI Number Information
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NPI Number | 1568076032
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Entity Type | Individual
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Provider Name | LORI MARSHALL LCSW-C
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Gender | Female
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Dates
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Enumeration Date | 09/02/2020
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Last Update Date | 05/11/2023
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Provider Practice Location Address
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Address Line | 10605 CONCORD ST STE 100
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City | KENSINGTON
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State | MD
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Zip | 20895-2500
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Country | US
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Telephone | 240-801-7270
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Fax |
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Provider Business Mailing Address
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Address Line | 12335 CHERRY BRANCH DR
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City | CLARKSBURG
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State | MD
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Zip | 20871-4402
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Country | US
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Telephone | 301-910-7696
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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 | 25955
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License Number State | MD
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