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General NPI Number Information
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NPI Number | 1639851272
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Entity Type | Individual
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Provider Name | ADRIANA GABRIELLE SPURLOCK LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/03/2023
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 2123 SHED RD STE 11
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City | BOSSIER CITY
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State | LA
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Zip | 71111-3617
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Country | US
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Telephone | 318-726-2063
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Fax | 318-333-1647
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Provider Business Mailing Address
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Address Line | 2123 SHED RD STE 11
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City | BOSSIER CITY
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State | LA
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Zip | 71111-3617
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Country | US
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Telephone | 318-726-2063
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Fax | 318-333-1647
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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 | 14901
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License Number State | LA
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