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General NPI Number Information
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NPI Number | 1891200382
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Entity Type | Organization
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Legal Business Name | SOUTHERN TIER COUNSELING SOLUTIONS LCSW PLLC
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Dates
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Enumeration Date | 12/06/2017
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Last Update Date | 12/22/2022
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Provider Practice Location Address
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Address Line | 383 GLENMARY DR STE 1
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City | OWEGO
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State | NY
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Zip | 13827-2004
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Country | US
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Telephone | 607-218-2010
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Fax | 607-348-1483
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Provider Business Mailing Address
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Address Line | 383 GLENMARY DR STE 1
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City | OWEGO
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State | NY
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Zip | 13827-2004
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Country | US
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Telephone | 607-218-2010
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Fax | 607-348-1483
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | MRS. DIANE MARIE FRANZ
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Credential | LCSWR
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Telephone | 607-222-5639
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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 | 075699-1
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License Number State | NY
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