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General NPI Number Information
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NPI Number | 1821439571
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Entity Type | Individual
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Provider Name | TRISTESSE LAZANDRIA CASIMIER LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/10/2013
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Last Update Date | 03/25/2024
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Provider Practice Location Address
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Address Line | 20818 MYSTICAL LEGEND DR
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City | TOMBALL
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State | TX
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Zip | 77375-0054
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Country | US
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Telephone | 832-987-3918
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Fax |
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Provider Business Mailing Address
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Address Line | 6046 FM 2920 RD STE 129
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City | SPRING
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State | TX
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Zip | 77379-2542
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Country | US
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Telephone | 832-987-3918
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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 | 56661
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License Number State | TX
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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 | 114096
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License Number State | CA
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