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General NPI Number Information
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NPI Number | 1841531373
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Entity Type | Individual
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Provider Name | ANNIE LAURIE FORREST LISW-CP
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Gender | Female
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Dates
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Enumeration Date | 03/07/2013
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Last Update Date | 04/06/2020
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Provider Practice Location Address
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Address Line | 1115 DUNLAP RD
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City | ANDERSON
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State | SC
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Zip | 29621-2501
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Country | US
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Telephone | 864-225-0792
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Fax | 864-226-3968
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Provider Business Mailing Address
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Address Line | 1115 DUNLAP RD
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City | ANDERSON
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State | SC
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Zip | 29621-2501
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Country | US
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Telephone | 864-225-0792
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Fax | 864-226-3968
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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 | 149014714
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 11414
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License Number State | SC
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