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NPI 1992781926

NPI 1992781926 : LORI SIGMON LCSW, MAC : BOERNE, TX

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General NPI Number Information
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    NPI Number           |    1992781926
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    Entity Type          |    Individual 
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    Provider Name        |    LORI SIGMON LCSW, MAC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/21/2005
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    Last Update Date     |    02/11/2025
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Provider Practice Location Address
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    Address Line         |    623 STATE HIGHWAY 46 E 
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    City                 |    BOERNE
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    State                |    TX
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    Zip                  |    78006-5757
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    Country              |    US
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    Telephone            |    888-623-8890
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    Fax                  |    844-654-0224
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Provider Business Mailing Address
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    Address Line         |    2600 GIDEON LN 
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    City                 |    NEW BRAUNFELS
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    State                |    TX
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    Zip                  |    78130-0473
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    Country              |    US
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    Telephone            |    913-240-6158
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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        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    26646
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    License Number State |    TX
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