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General NPI Number Information
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NPI Number | 1972734051
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Entity Type | Organization
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Legal Business Name | SANDRA L. MORROW, PHD, LLC
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Dates
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Enumeration Date | 08/06/2009
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Last Update Date | 08/06/2009
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Provider Practice Location Address
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Address Line | 635 FOREST AVE
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City | WESTFIELD
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State | NJ
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Zip | 07090-4320
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Country | US
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Telephone | 908-654-6512
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Fax | 908-654-6506
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Provider Business Mailing Address
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Address Line | 635 FOREST AVE
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City | WESTFIELD
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State | NJ
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Zip | 07090-4320
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Country | US
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Telephone | 908-654-6512
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Fax | 908-654-6506
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Authorized Official
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Title or Position | OWNER
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Name | DR. SANDRA L MORROW
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Credential | PHD
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Telephone | 908-654-6512
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 35S100247200
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License Number State | NJ
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