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General NPI Number Information
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NPI Number | 1992670376
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Entity Type | Individual
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Provider Name | CHRISTINA REID LSW
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Gender | Female
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Dates
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Enumeration Date | 10/07/2025
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 101 W 18TH ST
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City | LA PORTE
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State | IN
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Zip | 46350-6830
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Country | US
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Telephone | 219-400-8171
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Fax | 219-370-6088
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Provider Business Mailing Address
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Address Line | 101 W 18TH ST
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City | LA PORTE
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State | IN
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Zip | 46350-6830
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Country | US
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Telephone | 219-400-8171
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Fax | 219-370-6088
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 33013408A
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License Number State | IN
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