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General NPI Number Information
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NPI Number | 1699214379
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Entity Type | Individual
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Provider Name | MONIQUE FRANKLIN LCSW
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Gender | Female
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Dates
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Enumeration Date | 02/15/2017
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Last Update Date | 01/09/2023
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Provider Practice Location Address
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Address Line | 7870 BROADWAY
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City | MERRILLVILLE
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State | IN
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Zip | 46410-5542
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Country | US
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Telephone | 217-418-1888
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Fax |
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Provider Business Mailing Address
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Address Line | 2195 TAWNY ST
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City | HOBART
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State | IN
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Zip | 46342-6955
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Country | US
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Telephone | 217-418-1888
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 149018118
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License Number State | IL
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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 | LCSW-20290
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 44SC06111800
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 34007700A
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License Number State | IN
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