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General NPI Number Information
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NPI Number | 1134432602
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Entity Type | Individual
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Provider Name | DEVONDA YVONNE REIMONENQ-CURRY LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/26/2010
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Last Update Date | 02/06/2023
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Provider Practice Location Address
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Address Line | 310 MID CONTINENT PLZ STE 400
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City | WEST MEMPHIS
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State | AR
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Zip | 72301-1760
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Country | US
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Telephone | 662-260-2942
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Fax | 844-273-3436
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Provider Business Mailing Address
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Address Line | 6727 ANNA MAY DR
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City | WALLS
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State | MS
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Zip | 38680-8940
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Country | US
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Telephone | 662-260-2942
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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 |
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License Number State | AR
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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 | 17137
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C9035
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License Number State | MS
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 5110-C
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License Number State | AR
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