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General NPI Number Information
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NPI Number | 1639346786
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Entity Type | Individual
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Provider Name | ANNETTE KAY SNIDER LCSW
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Gender | Female
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Dates
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Enumeration Date | 05/08/2008
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Last Update Date | 12/11/2020
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Provider Practice Location Address
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Address Line | 204 N FRONT ST STE A
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City | DARDANELLE
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State | AR
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Zip | 72834-3843
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Country | US
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Telephone | 479-355-1606
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Fax | 901-755-8981
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Provider Business Mailing Address
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Address Line | 4 DRYER
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City | GREENBRIER
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State | AR
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Zip | 72058-9299
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Country | US
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Telephone | 501-733-6047
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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 | 877
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License Number State | TN
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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 | 2277-C
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License Number State | AR
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