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NPI 1689841405

NPI 1689841405 : FRANCES BERENA LIVINGSTON M.S.W., L.C.S.W. : NEWPORT, DE

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General NPI Number Information
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    NPI Number           |    1689841405
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    Entity Type          |    Individual 
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    Provider Name        |    FRANCES BERENA LIVINGSTON M.S.W., L.C.S.W.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/12/2008
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    Last Update Date     |    05/12/2008
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Provider Practice Location Address
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    Address Line         |    242 N JAMES ST TOWER OFFICE PARK, SUITE 204
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    City                 |    NEWPORT
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    State                |    DE
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    Zip                  |    19804-3182
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    Country              |    US
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    Telephone            |    302-995-5456
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    Fax                  |    302-995-0292
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Provider Business Mailing Address
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    Address Line         |    2811 N MONROE ST 
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    City                 |    WILMINGTON
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    State                |    DE
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    Zip                  |    19802-3043
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    Country              |    US
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    Telephone            |    302-438-5820
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    Fax                  |    302-778-2232
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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       |    Q1-0000784
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    License Number State |    DE
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