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General NPI Number Information
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NPI Number | 1942794342
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Entity Type | Organization
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Legal Business Name | GOOD GUIDANCE, LLC
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Dates
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Enumeration Date | 06/19/2018
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Last Update Date | 06/19/2018
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Provider Practice Location Address
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Address Line | 1 OVERLOOK PT STE 241
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City | LINCOLNSHIRE
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State | IL
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Zip | 60069-4331
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Country | US
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Telephone | 312-501-0054
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Fax |
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Provider Business Mailing Address
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Address Line | 1 OVERLOOK PT STE 241
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City | LINCOLNSHIRE
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State | IL
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Zip | 60069-4331
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Country | US
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Telephone | 312-501-0054
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | CATHERINE MARQUARD
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Credential | MSW, LCSW
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Telephone | 312-501-0054
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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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