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NPI 1083049829

NPI 1083049829 : LA TOYA ANDERSON SPENCER MSW, LCSW : NEW ORLEANS, LA

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General NPI Number Information
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    NPI Number           |    1083049829
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    Entity Type          |    Individual 
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    Provider Name        |    LA TOYA ANDERSON SPENCER MSW, LCSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/12/2013
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    Last Update Date     |    12/04/2023
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Provider Practice Location Address
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    Address Line         |    2701 LAWRENCE ST 
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    City                 |    NEW ORLEANS
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    State                |    LA
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    Zip                  |    70114-3013
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    Country              |    US
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    Telephone            |    504-250-6367
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1388 SHIPYARD DR 
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    City                 |    SLIDELL
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    State                |    LA
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    Zip                  |    70461-6645
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    Country              |    US
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    Telephone            |    985-956-4788
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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       |    11873
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    License Number State |    LA
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