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NPI 1710089701

NPI 1710089701 : CHERYL A SIARD LCSW : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1710089701
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    Entity Type          |    Individual 
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    Provider Name        |    CHERYL A SIARD LCSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/01/2006
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    Last Update Date     |    03/03/2009
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Provider Practice Location Address
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    Address Line         |    401 BRANARD ST 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77006-5015
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    Country              |    US
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    Telephone            |    713-529-0037
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    Fax                  |    713-526-4367
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Provider Business Mailing Address
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    Address Line         |    401 BRANARD ST 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77006-5015
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    Country              |    US
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    Telephone            |    713-529-0037
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    Fax                  |    713-526-4367
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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       |    32483
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    License Number State |    TX
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