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NPI 1598731101

NPI 1598731101 : EVELYN WILMA LAMON LCSW : SAN DIEGO, CA

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General NPI Number Information
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    NPI Number           |    1598731101
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    Entity Type          |    Individual 
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    Provider Name        |    EVELYN WILMA LAMON LCSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/23/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    11665 AVENA PLACE SUITE 108
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    City                 |    SAN DIEGO
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    State                |    CA
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    Zip                  |    92128
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    Country              |    US
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    Telephone            |    858-668-6454
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    Fax                  |    858-679-7510
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Provider Business Mailing Address
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    Address Line         |    PO BOX 270927 
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    City                 |    SAN DIEGO
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    State                |    CA
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    Zip                  |    92198-0927
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    Country              |    US
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    Telephone            |    619-993-7508
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    Fax                  |    858-679-7510
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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       |    LCS7890
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    License Number State |    CA
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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       |    LCS7890
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    License Number State |    CA
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