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General NPI Number Information
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NPI Number | 1194024893
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Entity Type | Individual
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Provider Name | ANNETTE CHILDS PH.D., LCSW
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Gender | Female
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Dates
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Enumeration Date | 03/21/2011
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Last Update Date | 03/21/2011
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Provider Practice Location Address
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Address Line | 5220 BELLAZZA CT
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City | RENO
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State | NV
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Zip | 89519-6155
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Country | US
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Telephone | 775-560-4141
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Fax | 877-848-4142
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Provider Business Mailing Address
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Address Line | 5220 BELLAZZA CT
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City | RENO
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State | NV
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Zip | 89519-6155
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Country | US
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Telephone | 775-560-4141
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Fax | 877-848-4142
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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 | 01917-C
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License Number State | NV
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