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General NPI Number Information
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NPI Number | 1538840541
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Entity Type | Individual
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Provider Name | AMY LEIGH DYER LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/31/2023
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 554 GREAT PLAINS DR
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City | HOUSE SPRINGS
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State | MO
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Zip | 63051-2576
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Country | US
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Telephone | 314-762-8100
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Fax | 314-865-0383
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Provider Business Mailing Address
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Address Line | 554 GREAT PLAINS DR
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City | HOUSE SPRINGS
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State | MO
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Zip | 63051-2576
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Country | US
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Telephone | 314-762-8100
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Fax | 314-865-0383
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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 | 2025010076
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License Number State | MO
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