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General NPI Number Information
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NPI Number | 1942788344
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Entity Type | Individual
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Provider Name | ERICA MICHELLE LAMOUREUX LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/30/2018
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Last Update Date | 10/17/2024
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Provider Practice Location Address
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Address Line | 50 PROSPECT PARK SW # 3
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City | BROOKLYN
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State | NY
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Zip | 11215-5915
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Country | US
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Telephone | 469-667-1986
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Fax |
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Provider Business Mailing Address
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Address Line | 418 BROADWAY STE N
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City | ALBANY
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State | NY
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Zip | 12207-2922
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Country | US
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Telephone | 973-559-3215
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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 | 092941
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License Number State | NY
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