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NPI 1043542897

NPI 1043542897 : CATRINA YVETTE HORN LCSW : LITTLE ROCK AFB, AR

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General NPI Number Information
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    NPI Number           |    1043542897
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    Entity Type          |    Individual 
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    Provider Name        |    CATRINA YVETTE HORN LCSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/04/2010
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    Last Update Date     |    04/07/2025
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Provider Practice Location Address
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    Address Line         |    1090 ARNOLD DR 
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    City                 |    LITTLE ROCK AFB
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    State                |    AR
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    Zip                  |    72099-7193
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    Country              |    US
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    Telephone            |    501-987-1256
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2335 FEDERAL DR APT C9 
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    City                 |    DYERSBURG
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    State                |    TN
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    Zip                  |    38024-1945
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    Country              |    US
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    Telephone            |    870-413-1563
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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        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    9715
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    License Number State |    TN
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Taxonomy #2
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    4376-C
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    License Number State |    AR
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