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General NPI Number Information
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NPI Number | 1972019966
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Entity Type | Individual
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Provider Name | BRITTANY MAKIN LCSW
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Gender | Female
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Dates
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Enumeration Date | 12/28/2017
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Last Update Date | 10/23/2024
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Provider Practice Location Address
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Address Line | 307 CENTER ST
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City | SLIPPERY ROCK
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State | PA
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Zip | 16057-1204
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Country | US
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Telephone | 724-264-8101
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Fax |
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Provider Business Mailing Address
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Address Line | 514 S CENTER ST
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City | GROVE CITY
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State | PA
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Zip | 16127-1326
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Country | US
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Telephone | 260-571-1931
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 33008396A
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License Number State | IN
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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 | CW022146
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License Number State | PA
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