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General NPI Number Information
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NPI Number | 1841396603
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Entity Type | Individual
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Provider Name | ELISA TESSIER LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/16/2006
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Last Update Date | 05/02/2022
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Provider Practice Location Address
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Address Line | 118 APPLEBEE ST
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City | BARRINGTON
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State | IL
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Zip | 60010-3035
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Country | US
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Telephone | 847-381-0345
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Fax |
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Provider Business Mailing Address
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Address Line | 39W259 SILVER GLEN RD
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City | SAINT CHARLES
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State | IL
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Zip | 60175-6935
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Country | US
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Telephone | 630-726-1204
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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 | 149-008886
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License Number State | IL
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