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General NPI Number Information
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NPI Number | 1689793846
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Entity Type | Organization
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Legal Business Name | SOCIAL WORK SERVICES & ASSOCIATES INC
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 01/18/2008
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Provider Practice Location Address
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Address Line | 2525 LIBERTY ST
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City | BEAUMONT
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State | TX
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Zip | 77702-1911
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Country | US
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Telephone | 409-833-6477
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4161
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City | BEAUMONT
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State | TX
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Zip | 77704-4161
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Country | US
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Telephone | 409-833-6477
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. WANDA DANEL BEYER KENDALL
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Credential | LCSW, LSOTP
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Telephone | 409-833-6477
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 94104
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 08700
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License Number State | TX
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