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General NPI Number Information
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NPI Number | 1689218976
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Entity Type | Organization
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Legal Business Name | LORRI LEA, MSW, LCSW, LLC
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Dates
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Enumeration Date | 10/30/2019
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Last Update Date | 10/30/2019
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Provider Practice Location Address
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Address Line | 324 ELM ST STE 204B
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City | MONROE
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State | CT
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Zip | 06468-2284
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Country | US
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Telephone | 203-907-8980
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Fax |
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Provider Business Mailing Address
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Address Line | 286 BUDDINGTON RD
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City | SHELTON
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State | CT
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Zip | 06484-5311
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LCSW/MANAGER
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Name | LORRI LEA
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Credential |
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Telephone | 203-907-8980
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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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