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General NPI Number Information
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NPI Number | 1851445183
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Entity Type | Individual
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Provider Name | ESTER BALDWIN LCSW, PH.D
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Gender | Female
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 12/30/2021
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Provider Practice Location Address
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Address Line | 1789 W YOSEMITE AVE SIERRA BUILDING
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City | MANTECA
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State | CA
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Zip | 95337-5130
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Country | US
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Telephone | 209-858-7764
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Fax | 209-858-7721
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Provider Business Mailing Address
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Address Line | 1789 W YOSEMITE AVE SIERRA BUILDING
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City | MANTECA
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State | CA
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Zip | 95337-5130
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Country | US
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Telephone | 209-858-7764
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Fax | 209-858-7721
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSB 37118
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License Number State | CA
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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 | LCS23362
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License Number State | CA
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