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General NPI Number Information
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NPI Number | 1619558806
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Entity Type | Individual
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Provider Name | LORI ANN GARFINKEL PSYD, LPC
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Gender | Female
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Dates
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Enumeration Date | 04/19/2021
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Last Update Date | 07/23/2024
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Provider Practice Location Address
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Address Line | 4066 N STOWELL AVE
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City | SHOREWOOD
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State | WI
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Zip | 53211-2132
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Country | US
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Telephone | 248-930-5652
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Fax |
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Provider Business Mailing Address
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Address Line | 4066 N STOWELL AVE
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City | SHOREWOOD
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State | WI
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Zip | 53211-2132
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Country | US
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Telephone | 248-930-5652
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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 | 8232-125
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 4203-226
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 4019-57
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License Number State | WI
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Taxonomy #4
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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