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General NPI Number Information
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NPI Number | 1912515537
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Entity Type | Organization
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Legal Business Name | DENISE B. STANLEY, LISW-CP, LLC
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Dates
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Enumeration Date | 07/20/2020
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Last Update Date | 07/20/2020
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Provider Practice Location Address
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Address Line | 112B BYPASS 225
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City | GREENWOOD
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State | SC
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Zip | 29646-1154
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Country | US
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Telephone | 910-200-6615
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Fax |
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Provider Business Mailing Address
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Address Line | 112B BYPASS 225
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City | GREENWOOD
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State | SC
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Zip | 29646-1154
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Country | US
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Telephone | 864-453-1570
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Fax | 864-453-1590
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Authorized Official
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Title or Position | LICENSED CLINICAL SOCIAL WORKER
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Name | MRS. DENISE B STANLEY
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Credential | LISW-CP
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Telephone | 864-453-1570
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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 |
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License Number State |
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