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NPI 1811801012

NPI 1811801012 : JA'LIZA MICHAUX LMSW : DANBURY, CT

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General NPI Number Information
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    NPI Number           |    1811801012
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    Entity Type          |    Individual 
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    Provider Name        |    JA'LIZA MICHAUX LMSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/02/2026
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    Last Update Date     |    10/02/2026
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Provider Practice Location Address
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    Address Line         |    100 MILL PLAIN RD FL 3 
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    City                 |    DANBURY
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    State                |    CT
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    Zip                  |    06811-5189
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    Country              |    US
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    Telephone            |    203-800-9778
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    206 APPLE CREEK LN 
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    City                 |    SANTA ROSA
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    State                |    CA
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    Zip                  |    95401-6182
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    Country              |    US
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    Telephone            |    203-800-9778
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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        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    133830
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    License Number State |    NY
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Taxonomy #2
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    Taxonomy Code        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    12422
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    License Number State |    CT
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