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General NPI Number Information
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NPI Number | 1720107535
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Entity Type | Individual
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Provider Name | ALICIA MARIE LAWRENCE LSCSW
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Gender | Female
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 09/09/2016
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Provider Practice Location Address
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Address Line | 901 KENTUCKY ST STE 306
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City | LAWRENCE
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State | KS
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Zip | 66044-2858
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Country | US
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Telephone | 785-393-2566
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Fax | 785-371-1235
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Provider Business Mailing Address
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Address Line | 901 KENTUCKY ST SUITE 306
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City | LAWRENCE
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State | KS
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Zip | 66044-2823
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Country | US
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Telephone | 785-393-2566
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Fax | 785-371-1235
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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 | 6529
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 6529
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License Number State | KS
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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 | 4295
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License Number State | KS
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