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General NPI Number Information
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NPI Number | 1932422391
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Entity Type | Individual
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Provider Name | JOAN FLETCHER LCSW
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Gender | Female
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Dates
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Enumeration Date | 03/12/2010
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Last Update Date | 01/27/2016
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Provider Practice Location Address
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Address Line | 72B NORTH MARKET ST SUITE 3
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City | WILMINGTON
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State | DE
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Zip | 19801-3008
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Country | US
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Telephone | 302-723-1368
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Fax | 302-575-9314
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Provider Business Mailing Address
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Address Line | 2803 N HARRISON ST
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City | WILMINGTON
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State | DE
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Zip | 19802-2926
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Country | US
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Telephone | 302-723-1368
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | Q1-0001015
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License Number State | DE
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