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General NPI Number Information
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NPI Number | 1801687678
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Entity Type | Individual
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Provider Name | JOELLYN NORRIE LCSW
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Gender | Female
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Dates
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Enumeration Date | 05/13/2025
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 16135 CARDEN DR
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City | ODESSA
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State | FL
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Zip | 33556-3314
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Country | US
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Telephone | 813-926-9260
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Fax |
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Provider Business Mailing Address
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Address Line | 16135 CARDEN DR
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City | ODESSA
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State | FL
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Zip | 33556-3314
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Country | US
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Telephone | 813-926-9260
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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 | SW24750
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CW013704
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License Number State | PA
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