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General NPI Number Information
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NPI Number | 1831415744
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Entity Type | Organization
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Legal Business Name | VANESSA HEBERT, LCSW, INC.
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Dates
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Enumeration Date | 04/16/2010
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Last Update Date | 04/16/2010
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Provider Practice Location Address
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Address Line | 2993 PIEDMONT RD NE
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City | ATLANTA
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State | GA
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Zip | 30305-2750
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Country | US
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Telephone | 404-219-7500
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Fax |
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Provider Business Mailing Address
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Address Line | 1110 VININGS GROVE WAY SE
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City | SMYRNA
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State | GA
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Zip | 30082-4759
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Country | US
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Telephone | 404-219-7500
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | VANESSA HEBERT
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Credential | LCSW
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Telephone | 404-219-7500
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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 | CSW003741
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License Number State | GA
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