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General NPI Number Information
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NPI Number | 1750624516
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Entity Type | Individual
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Provider Name | ERIN MCLOUD LICSW
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Gender | Female
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Dates
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Enumeration Date | 03/30/2013
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Last Update Date | 01/04/2024
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Provider Practice Location Address
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Address Line | 66TH MEDICAL SQUADRON 90 VANDENBERG BLDG 1900
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City | APO
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State | AA
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Zip | 01731
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Country | US
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Telephone | 781-225-6264
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Fax |
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Provider Business Mailing Address
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Address Line | 9 WILDWOOD RD
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City | MIDDLETON
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State | MA
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Zip | 01949-2133
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Country | US
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Telephone | 617-313-2939
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Fax |
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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 | 118111
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License Number State | MA
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