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NPI Code Detail

MEDICARE: MRS. MONIQUE ANN MYERS LCSW

MEDICARE:  MRS. MONIQUE ANN MYERS  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerLCSW 3461HI
21041C0700XClinical Social Worker6960-CAR

General Provider Information

NPI Number : 1417139049
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MONIQUE ANN MYERS LCSW
Provider Business Mailing Address
First Line : 39 CYPRESS CREEK DR
Second Line :
City : CABOT
State : AR
Zip : 72023-8199
Country : US
Telephone Number : 808-349-2941
Fax Number :
Provider Business Practice Location Address
First Line : 201 W BROADWAY ST
Second Line :
City : NORTH LITTLE ROCK
State : AR
Zip : 72114-5552
Country : US
Telephone Number : 808-349-2941
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2007
Last Update Date : 06/13/2013

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Directions to “ MRS. MONIQUE ANN MYERS LCSW” Practice Location

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