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General NPI Number Information
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NPI Number | 1811644479
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Entity Type | Organization
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Legal Business Name | AMY STOLBERG, LCSW, PC
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Dates
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Enumeration Date | 03/03/2022
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Last Update Date | 01/13/2023
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Provider Practice Location Address
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Address Line | 919 WINTON RD S STE 211
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City | ROCHESTER
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State | NY
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Zip | 14618-1637
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Country | US
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Telephone | 585-739-6968
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Fax |
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Provider Business Mailing Address
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Address Line | 76 SONORA PKWY
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City | ROCHESTER
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State | NY
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Zip | 14618-1314
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Country | US
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Telephone | 585-739-6968
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Fax |
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Authorized Official
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Title or Position | OWNER/ PROVIDER
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Name | AMY N STOLBERG
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Credential | LCSW
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Telephone | 585-739-6968
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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 |
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License Number State |
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