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NPI 1679803282

NPI 1679803282 : LOREN B STERMAN L.C.S.W. : GUILFORD, CT

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General NPI Number Information
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    NPI Number           |    1679803282
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    Entity Type          |    Individual 
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    Provider Name        |    LOREN B STERMAN L.C.S.W.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/04/2010
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    Last Update Date     |    01/04/2010
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Provider Practice Location Address
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    Address Line         |    17 WATER ST SUITE #8
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    City                 |    GUILFORD
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    State                |    CT
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    Zip                  |    06437-2877
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    Country              |    US
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    Telephone            |    203-640-1236
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    Fax                  |    203-458-0680
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Provider Business Mailing Address
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    Address Line         |    17 WATER ST SUITE #8
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    City                 |    GUILFORD
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    State                |    CT
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    Zip                  |    06437-2877
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    Country              |    US
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    Telephone            |    203-640-1236
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    Fax                  |    203-458-0680
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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        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    005498
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    License Number State |    CT
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