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General NPI Number Information
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NPI Number | 1588436687
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Entity Type | Individual
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Provider Name | DIONNE M BRACKEN MSW,CSW, M.A.
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Gender | Female
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Dates
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Enumeration Date | 10/23/2023
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 1400 CALDER ST
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City | GRETNA
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State | LA
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Zip | 70053-5637
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Country | US
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Telephone | 504-322-7710
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Fax | 504-322-7708
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Provider Business Mailing Address
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Address Line | 2550 BELLE CHASSE HWY STE 150
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City | GRETNA
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State | LA
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Zip | 70053-6733
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Country | US
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Telephone | 504-788-6801
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Fax | 504-788-6815
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 10398
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 18076
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License Number State | LA
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