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NPI 1578566642

NPI 1578566642 : STANLEY JAMES SWINGLE II LCSW : AMARILLO, TX

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General NPI Number Information
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    NPI Number           |    1578566642
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    Entity Type          |    Individual 
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    Provider Name        |    STANLEY JAMES SWINGLE II LCSW
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/23/2005
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    901 WALLACE BLVD BLDG 501
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    City                 |    AMARILLO
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    State                |    TX
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    Zip                  |    79106-1705
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    Country              |    US
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    Telephone            |    806-349-5621
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    901 WALLACE BLVD BLDG 501
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    City                 |    AMARILLO
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    State                |    TX
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    Zip                  |    79106-1705
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    Country              |    US
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    Telephone            |    806-349-5621
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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        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    S02401
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    S02401
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    License Number State |    TX
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