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General NPI Number Information
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NPI Number | 1942440664
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Entity Type | Individual
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Provider Name | MONIQUE LA-RUTH HART MSW, LCSW, LICSW
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Gender | Female
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Dates
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Enumeration Date | 02/21/2009
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Last Update Date | 03/03/2026
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Provider Practice Location Address
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Address Line | 141 S BLACK HORSE PIKE STE 102
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City | BLACKWOOD
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State | NJ
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Zip | 08012
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Country | US
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Telephone | 856-842-4210
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Fax | 856-341-9289
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Provider Business Mailing Address
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Address Line | 1448 70TH AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19126-1614
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Country | US
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Telephone | 856-842-4210
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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 | 17759
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 125138
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | Q1-0012341
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License Number State | DE
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 012849
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License Number State | CT
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LC200002951
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License Number State | DC
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Taxonomy #6
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CSW.09928698
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License Number State | CO
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Taxonomy #7
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CW023281
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License Number State | PA
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Taxonomy #8
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0904015808
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License Number State | VA
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Taxonomy #9
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 11514-123
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License Number State | WI
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Taxonomy #10
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 120795
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License Number State | CA
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Taxonomy #11
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 44SC05731900
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License Number State | NJ
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Taxonomy #12
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW21115
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License Number State | FL
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