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General NPI Number Information
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NPI Number | 1609435171
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Entity Type | Individual
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Provider Name | LAURYN WILLE LCSW
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Gender | Female
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Dates
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Enumeration Date | 06/10/2019
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 17 TALCOTT NOTCH RD STE 1F
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City | FARMINGTON
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State | CT
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Zip | 06032-1818
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Country | US
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Telephone | 860-308-2807
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 270222
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City | WEST HARTFORD
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State | CT
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Zip | 06127-0222
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Country | US
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Telephone | 860-308-2807
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Fax | 860-731-5536
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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