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General NPI Number Information
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NPI Number | 1679793962
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Entity Type | Individual
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Provider Name | LORI SVENDSEN BS, CERTIFIED SW
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Gender | Female
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Dates
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Enumeration Date | 04/27/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 14301 COUNTY HIGHWAY B A-19
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City | SPARTA
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State | WI
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Zip | 54656
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Country | US
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Telephone | 608-269-8641
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Fax | 608-269-8935
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Provider Business Mailing Address
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Address Line | 326 WAGON DR
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City | WEST SALEM
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State | WI
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Zip | 54669-1034
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Country | US
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Telephone | 608-786-3112
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 2148132
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 824120
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License Number State | WI
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