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General NPI Number Information
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NPI Number | 1932431467
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Entity Type | Individual
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Provider Name | LORRAINE MARIE KENOWSKI MA, LPC
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Gender | Female
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Dates
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Enumeration Date | 02/09/2010
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Last Update Date | 04/30/2020
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Provider Practice Location Address
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Address Line | 189 STORRS RD
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City | MANSFIELD CENTER
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State | CT
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Zip | 06250-1683
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Country | US
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Telephone | 860-456-1311
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Fax |
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Provider Business Mailing Address
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Address Line | 17 BUCKINGHAM RD
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City | MANSFIELD CENTER
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State | CT
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Zip | 06250-1404
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Country | US
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Telephone | 860-335-7624
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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 | 04321
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License Number State | CT
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