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General NPI Number Information
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NPI Number | 1942336136
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Entity Type | Organization
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Legal Business Name | CLINICAL ASSOCIATES FOR MENTAL HEALTH, PC
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Dates
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Enumeration Date | 02/24/2007
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Last Update Date | 10/10/2007
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Provider Practice Location Address
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Address Line | 1550 SPRING RD STE 215
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City | OAK BROOK
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State | IL
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Zip | 60523-1350
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Country | US
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Telephone | 630-279-5321
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Fax |
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Provider Business Mailing Address
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Address Line | 1550 SPRING RD STE 215
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City | OAK BROOK
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State | IL
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Zip | 60523-1350
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Country | US
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Telephone | 630-279-5321
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | JAMES A WARNER
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Credential | LCSW
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Telephone | 630-279-5321
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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 | IL
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