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General NPI Number Information
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NPI Number | 1861072308
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Entity Type | Organization
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Legal Business Name | OLISHA MAFU LCSW COUNSELING AND COUNSULTATION LLC
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Dates
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Enumeration Date | 04/09/2021
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Last Update Date | 04/09/2021
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Provider Practice Location Address
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Address Line | 7712 BOLERO DRIVE
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City | CAMBY
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State | IN
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Zip | 46113
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Country | US
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Telephone | 574-315-1599
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Fax |
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Provider Business Mailing Address
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Address Line | 8063 MADISON AVE # 1193
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City | INDIANAPOLIS
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State | IN
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Zip | 46227-6001
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | OLISHA CALVETTE MAFU
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Credential | MSW, LCSW
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Telephone | 574-315-1599
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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