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General NPI Number Information
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NPI Number | 1891802534
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Entity Type | Individual
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Provider Name | LOUISE KAUFMAN-YAVITZ MS,LPC,LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/25/2006
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Last Update Date | 02/06/2025
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Provider Practice Location Address
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Address Line | 8 GRAYBRIDGE LN
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City | SAINT LOUIS
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State | MO
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Zip | 63124-1716
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Country | US
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Telephone | 314-369-4637
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Fax | 314-997-5716
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Provider Business Mailing Address
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Address Line | 8 GRAYBRIDGE LN
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City | SAINT LOUIS
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State | MO
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Zip | 63124-1716
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Country | US
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Telephone | 314-369-4637
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Fax | 314-997-5716
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | LCSW 000446
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | LPC 00431
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License Number State | MO
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