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General NPI Number Information
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NPI Number | 1831433630
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Entity Type | Individual
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Provider Name | JENNIFER STEWART LCSW
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Gender | Female
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Dates
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Enumeration Date | 11/16/2012
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Last Update Date | 01/27/2021
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Provider Practice Location Address
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Address Line | 220 S MAIN ST STE B
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City | BUTLER
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State | PA
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Zip | 16001-0806
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Country | US
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Telephone | 742-283-9436
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Fax |
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Provider Business Mailing Address
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Address Line | 61 SCOTT RIDGE RD
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City | HARMONY
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State | PA
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Zip | 16037-9720
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Country | US
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Telephone | 302-562-3073
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | CW018479
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | CW018479
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License Number State | PA
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