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General NPI Number Information
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NPI Number | 1669016291
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Entity Type | Organization
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Legal Business Name | KAREN CONLON THERAPY LCSW PLLC
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Dates
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Enumeration Date | 11/06/2019
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Last Update Date | 07/07/2021
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Provider Practice Location Address
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Address Line | 59 E 54TH ST RM 84
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City | NEW YORK
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State | NY
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Zip | 10022-9205
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Country | US
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Telephone | 646-299-3979
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Fax |
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Provider Business Mailing Address
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Address Line | 11120 75TH RD
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City | FOREST HILLS
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State | NY
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Zip | 11375-6337
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Country | US
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Telephone | 347-707-0632
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KAREN JACKELINE CONLON
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Credential | LCSW
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Telephone | 347-704-0632
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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