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General NPI Number Information
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NPI Number | 1952955403
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Entity Type | Individual
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Provider Name | MARIAN LIN MONDY LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/01/2019
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Last Update Date | 09/14/2023
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Provider Practice Location Address
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Address Line | 751 MALETA LN STE 202
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City | CASTLE ROCK
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State | CO
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Zip | 80108-7607
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Country | US
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Telephone | 719-201-7397
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Fax |
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Provider Business Mailing Address
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Address Line | 2371 MORNINGVIEW LN
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City | CASTLE ROCK
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State | CO
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Zip | 80109-3708
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Country | US
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Telephone | 719-201-7397
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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 | CSW.09925256
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License Number State | CO
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