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General NPI Number Information
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NPI Number | 1932412350
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Entity Type | Organization
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Legal Business Name | LOUISE K. CENTER, MSW LCSW PA
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Dates
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Enumeration Date | 07/15/2010
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Last Update Date | 07/15/2010
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Provider Practice Location Address
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Address Line | 1041 IVES DAIRY RD SUITE 138
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City | MIAMI
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State | FL
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Zip | 33179-2539
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Country | US
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Telephone | 305-652-0222
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Fax | 305-652-0202
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Provider Business Mailing Address
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Address Line | 1041 IVES DAIRY RD SUITE 138
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City | MIAMI
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State | FL
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Zip | 33179-2539
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Country | US
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Telephone | 305-652-0222
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Fax | 305-652-0202
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Authorized Official
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Title or Position | LCSW
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Name | MS. LOUISE CENTER
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Credential | LCSW
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Telephone | 305-652-0222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | SW3776
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License Number State | FL
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