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General NPI Number Information
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NPI Number | 1750391959
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Entity Type | Organization
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Legal Business Name | MARY CHARLENE MESSNER, LCSW, LLC
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 131 S MAIN ST
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City | WINCHESTER
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State | KY
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Zip | 40391-2621
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Country | US
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Telephone | 859-745-0402
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Fax | 859-737-5127
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Provider Business Mailing Address
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Address Line | 131 S MAIN ST
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City | WINCHESTER
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State | KY
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Zip | 40391-2621
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Country | US
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Telephone | 859-745-0402
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Fax | 859-737-5127
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Authorized Official
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Title or Position | OWNER
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Name | MARY CHARLENE MESSNER
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Credential | LCSW
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Telephone | 859-745-0402
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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 | 1582
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License Number State | KY
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