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General NPI Number Information
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NPI Number | 1821737669
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Entity Type | Individual
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Provider Name | SYLWIA DRAG LSW
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Gender | Female
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Dates
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Enumeration Date | 05/31/2022
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Last Update Date | 10/23/2024
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Provider Practice Location Address
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Address Line | 109 FAIRFIELD WAY STE 205
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City | BLOOMINGDALE
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State | IL
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Zip | 60108-1500
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Country | US
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Telephone | 630-237-4446
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Fax |
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Provider Business Mailing Address
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Address Line | 100 GEORGE ST APT 517
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City | BENSENVILLE
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State | IL
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Zip | 60106-3170
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Country | US
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Telephone | 773-230-5697
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 150.105469
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License Number State | IL
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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 | 149.026914
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License Number State | IL
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