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General NPI Number Information
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NPI Number | 1700086782
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Entity Type | Organization
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Legal Business Name | MCPHERSON COUNSELING SERVICES,INC
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Dates
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Enumeration Date | 07/19/2007
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Last Update Date | 12/30/2011
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Provider Practice Location Address
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Address Line | 600 25TH AVE S SUITE 109
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City | SAINT CLOUD
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State | MN
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Zip | 56301-4820
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Country | US
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Telephone | 320-255-0343
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Fax | 320-654-0318
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Provider Business Mailing Address
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Address Line | 600 25TH AVE S SUITE 109
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City | SAINT CLOUD
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State | MN
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Zip | 56301-4820
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Country | US
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Telephone | 320-255-0343
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Fax | 320-654-0318
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Authorized Official
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Title or Position | CORPORATION PRESIDENT/LICSW
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Name | MS. ERIN PAIGE MCPHERSON
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Credential | MSW, LICSW
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Telephone | 320-255-0343
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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 | 13073
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License Number State | MN
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