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General NPI Number Information
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NPI Number | 1972266815
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Entity Type | Individual
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Provider Name | ALISA LAVOI LCSW
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Gender | Female
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Dates
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Enumeration Date | 10/18/2021
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Last Update Date | 06/19/2025
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Provider Practice Location Address
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Address Line | 2484 N STOKESBERRY PL STE 150
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City | MERIDIAN
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State | ID
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Zip | 83646-6084
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Country | US
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Telephone | 775-315-5020
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Fax |
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Provider Business Mailing Address
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Address Line | 4458 E FACETO ST
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City | MERIDIAN
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State | ID
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Zip | 83642-5720
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Country | US
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Telephone | 775-315-5020
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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 | 8861710
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License Number State | ID
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