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General NPI Number Information
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NPI Number | 1174416473
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Entity Type | Organization
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Legal Business Name | REFLECT AND REFRAME
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Dates
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Enumeration Date | 06/03/2025
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 5258 LA-3276 SUITE B
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City | STONEWALL
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State | LA
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Zip | 71078
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Country | US
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Telephone | 318-469-4340
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Fax |
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Provider Business Mailing Address
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Address Line | 9005 LETHA LOOP
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City | SHREVEPORT
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State | LA
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Zip | 71118-2421
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Country | US
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Telephone | 318-469-4340
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Fax |
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Authorized Official
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Title or Position | CLINICAL SOCIAL WORKER
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Name | DEMARQUANE S THOMAS
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Credential | LCSW
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Telephone | 318-469-4340
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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 |
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License Number State |
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