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General NPI Number Information
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NPI Number | 1821804865
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Entity Type | Individual
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Provider Name | LACIE WINN LMSW
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Gender | Female
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Dates
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Enumeration Date | 12/04/2024
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Last Update Date | 12/04/2024
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Provider Practice Location Address
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Address Line | 400 THOROUGHBRED DR
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City | YORK HAVEN
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State | PA
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Zip | 17370-8937
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Country | US
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Telephone | 717-343-5525
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Fax |
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Provider Business Mailing Address
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Address Line | 400 THOROUGHBRED DR
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City | YORK HAVEN
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State | PA
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Zip | 17370-8937
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Country | US
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Telephone | 717-343-5525
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | SW130400
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License Number State | PA
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