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General NPI Number Information
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NPI Number | 1649165069
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Entity Type | Organization
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Legal Business Name | SKM THERAPY LLC
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Dates
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Enumeration Date | 06/09/2025
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 2704 WASHINGTON AVE STE B
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City | VINCENNES
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State | IN
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Zip | 47591-3667
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Country | US
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Telephone | 812-891-4053
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Fax | 812-790-2307
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Provider Business Mailing Address
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Address Line | PO BOX 3276
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City | EVANSVILLE
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State | IN
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Zip | 47731-3276
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Country | US
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Telephone | 812-473-0181
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Fax | 812-492-6498
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Authorized Official
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Title or Position | OWNER
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Name | SARAH MORRIS
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Credential | LCSW
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Telephone | 812-891-4053
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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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