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General NPI Number Information
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NPI Number | 1851789036
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Entity Type | Individual
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Provider Name | DAWN W GRANT-LOCKLEY LCSW
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Gender | Female
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Dates
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Enumeration Date | 12/22/2014
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Last Update Date | 09/15/2020
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Provider Practice Location Address
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Address Line | 157 CHURCH ST FL 19
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City | NEW HAVEN
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State | CT
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Zip | 06510-2100
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Country | US
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Telephone | 203-275-7568
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Fax |
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Provider Business Mailing Address
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Address Line | 192 RYAN AVE
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City | STRATFORD
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State | CT
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Zip | 06615-7413
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Country | US
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Telephone | 203-675-4815
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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 | 8682
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License Number State | CT
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