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General NPI Number Information
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NPI Number | 1700529567
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Entity Type | Individual
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Provider Name | RENEE EILEEN MORGAN SPELL LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/19/2022
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Last Update Date | 04/19/2022
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Provider Practice Location Address
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Address Line | 2020 E 70TH ST STE 301
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City | SHREVEPORT
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State | LA
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Zip | 71105-5332
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Country | US
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Telephone | 318-553-5591
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Fax |
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Provider Business Mailing Address
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Address Line | 288 OLEANDER RD
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City | EGAN
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State | LA
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Zip | 70531-3403
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Country | US
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Telephone | 337-250-1690
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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 | 9726
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License Number State | LA
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