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General NPI Number Information
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NPI Number | 1740733146
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Entity Type | Organization
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Legal Business Name | SHERRI LAU, LCSW, & ASSOCIATES, INC
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Dates
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Enumeration Date | 08/02/2016
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Last Update Date | 08/02/2016
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Provider Practice Location Address
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Address Line | 5100 N RAVENSWOOD AVE SUITE 226
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City | CHICAGO
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State | IL
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Zip | 60640-1710
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Country | US
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Telephone | 773-562-4949
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Fax |
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Provider Business Mailing Address
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Address Line | 5100 N RAVENSWOOD AVE SUITE 226
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City | CHICAGO
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State | IL
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Zip | 60640-1710
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Country | US
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Telephone | 773-562-4949
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | MRS. SHERRI ANN LAU
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Credential | LCSW
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Telephone | 773-562-4949
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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 | 149009922
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License Number State | IL
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