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General NPI Number Information
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NPI Number | 1619540150
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Entity Type | Individual
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Provider Name | MONICA ROSE ANDREWS LPC, ATR
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Gender | Female
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Dates
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Enumeration Date | 07/22/2021
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Last Update Date | 07/28/2021
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Provider Practice Location Address
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Address Line | 108 N CLAY AVE
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City | KIRKWOOD
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State | MO
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Zip | 63122-4265
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Country | US
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Telephone | 314-570-3807
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Fax |
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Provider Business Mailing Address
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Address Line | 225 ORCHARD AVE
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City | BALLWIN
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State | MO
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Zip | 63021-5231
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Country | US
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Telephone | 314-570-3807
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2012022791
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License Number State | MO
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