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General NPI Number Information
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NPI Number | 1578315735
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Entity Type | Organization
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Legal Business Name | INNER COMPASS, LICENSED CLINICAL SOCIAL WORKER, INC.
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Dates
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Enumeration Date | 04/02/2024
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Last Update Date | 04/02/2024
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Provider Practice Location Address
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Address Line | 2635 CAMINO DEL RIO S STE 201
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City | SAN DIEGO
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State | CA
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Zip | 92108-3728
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Country | US
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Telephone | 714-253-7842
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Fax |
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Provider Business Mailing Address
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Address Line | 1410 W THORN ST
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City | SAN DIEGO
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State | CA
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Zip | 92103-5337
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Country | US
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Telephone | 714-253-7842
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Fax |
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Authorized Official
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Title or Position | FOUNDER AND CLINICAL DIRECTOR
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Name | MRS. NORA DAVIS
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Credential | LCSW
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Telephone | 714-253-7842
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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 |
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License Number State |
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