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General NPI Number Information
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NPI Number | 1952095705
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Entity Type | Organization
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Legal Business Name | EMPOWERING GROWTH PSYCHOTHERAPY, PLLC
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Dates
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Enumeration Date | 06/05/2023
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Last Update Date | 06/05/2023
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Provider Practice Location Address
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Address Line | 5228 N CAMPBELL AVE APT 3B
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City | CHICAGO
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State | IL
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Zip | 60625-2464
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Country | US
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Telephone | 907-305-1066
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Fax |
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Provider Business Mailing Address
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Address Line | 5228 N CAMPBELL AVE APT 3B
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City | CHICAGO
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State | IL
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Zip | 60625-2464
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Country | US
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Telephone | 907-305-1066
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SARAH SCHWARTZ
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Credential |
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Telephone | 907-305-1066
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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 |
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