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General NPI Number Information
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NPI Number | 1922601814
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Entity Type | Individual
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Provider Name | LAUREN J MCCARTHY LPC, MS
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Gender | Female
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Dates
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Enumeration Date | 11/21/2020
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Last Update Date | 07/31/2024
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Provider Practice Location Address
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Address Line | 5250 S 108TH ST
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City | HALES CORNERS
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State | WI
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Zip | 53130-1321
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Country | US
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Telephone | 414-296-1730
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Fax |
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Provider Business Mailing Address
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Address Line | 5770 S ILLINOIS AVE
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City | CUDAHY
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State | WI
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Zip | 53110-2524
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Country | US
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Telephone | 414-759-1358
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 11200-125
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License Number State | WI
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