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General NPI Number Information
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NPI Number | 1831760545
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Entity Type | Individual
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Provider Name | STEPHANIE ESTHER CUEVAS LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/03/2021
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 113 MAIN ST STE 301
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City | OSWEGO
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State | IL
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Zip | 60543-1264
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Country | US
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Telephone | 630-999-5235
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Fax |
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Provider Business Mailing Address
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Address Line | 617 VISTA DR
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City | OSWEGO
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State | IL
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Zip | 60543-8129
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Country | US
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Telephone | 630-999-5235
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 149.022547
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License Number State | IL
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