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General NPI Number Information
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NPI Number | 1659145159
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Entity Type | Organization
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Legal Business Name | LISA CREAR CARRIER LCSW-C, ADVANCED GRIEF RECOVERY METHOD SPECIALIST
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Dates
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Enumeration Date | 11/14/2023
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Last Update Date | 11/14/2023
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Provider Practice Location Address
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Address Line | 1900 BANK ST
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City | BALTIMORE
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State | MD
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Zip | 21231-2510
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Country | US
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Telephone | 612-581-2597
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Fax |
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Provider Business Mailing Address
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Address Line | 714 S WOLFE ST # 38629
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City | BALTIMORE
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State | MD
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Zip | 21231-9998
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Country | US
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Telephone | 410-458-1378
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LISA CARRIER
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Credential | LCSW-C
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Telephone | 612-581-2597
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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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