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General NPI Number Information
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NPI Number | 1710915632
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Entity Type | Organization
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Legal Business Name | SOPHIA SHLAIN, LCSW LTD.
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Dates
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Enumeration Date | 06/29/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 201 E STRONG ST #6
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City | WHEELING
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State | IL
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Zip | 60090-2979
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Country | US
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Telephone | 847-215-5222
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Fax | 847-215-5142
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Provider Business Mailing Address
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Address Line | 2281 AVALON DR
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City | BUFFALO GROVE
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State | IL
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Zip | 60089-4688
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Country | US
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Telephone | 224-619-6982
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Fax | 847-821-9976
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. SOPHIA SHLAIN
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Credential | LCSW
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Telephone | 224-619-6982
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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 | IL
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