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General NPI Number Information
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NPI Number | 1205957560
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Entity Type | Individual
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Provider Name | MARGARITA INGEBORG ARENTSEN-LANDGREN LCSW-S, LCDC, ADC
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Gender | Female
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 12/09/2022
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Provider Practice Location Address
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Address Line | 5112 MIMOSA DR
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City | BELLAIRE
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State | TX
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Zip | 77401-4941
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Country | US
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Telephone | 832-341-7633
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Fax | 866-623-7085
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Provider Business Mailing Address
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Address Line | 5112 MIMOSA DR
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City | BELLAIRE
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State | TX
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Zip | 77401-4941
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Country | US
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Telephone | 832-341-7633
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Fax | 866-623-7085
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 14960
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License Number State | TX
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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 | ISW03429
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License Number State | RI
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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 | 50103
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License Number State | TX
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