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NPI 1982714325

NPI 1982714325 : PATRICIA LEE NEWMAN LCSW : SLIDELL, LA

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General NPI Number Information
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    NPI Number           |    1982714325
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    Entity Type          |    Individual 
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    Provider Name        |    PATRICIA LEE NEWMAN LCSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/30/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    340 GATEWAY DR 
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    City                 |    SLIDELL
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    State                |    LA
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    Zip                  |    70461-5540
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    Country              |    US
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    Telephone            |    985-646-6540
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    Fax                  |    985-646-6588
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Provider Business Mailing Address
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    Address Line         |    74457 MILITARY RD 
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    City                 |    COVINGTON
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    State                |    LA
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    Zip                  |    70435-6179
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    Country              |    US
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    Telephone            |    225-218-3090
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    Fax                  |    985-646-6588
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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       |    4845
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    License Number State |    LA
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