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General NPI Number Information
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NPI Number | 1730708942
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Entity Type | Organization
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Legal Business Name | CARMEN ELIZABETH SPOONER
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Dates
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Enumeration Date | 04/09/2020
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Last Update Date | 04/09/2020
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Provider Practice Location Address
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Address Line | 637 SAINT FERDINAND ST
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City | BATON ROUGE
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State | LA
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Zip | 70802-6152
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Country | US
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Telephone | 225-627-3470
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Fax | 225-240-1089
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Provider Business Mailing Address
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Address Line | 735 STONEY CREEK AVE
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City | BATON ROUGE
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State | LA
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Zip | 70808-8191
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Country | US
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Telephone | 225-627-3470
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Fax | 225-240-1089
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Authorized Official
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Title or Position | OWNER/CLINICIAN
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Name | MS. CARMEN ELIZABETH SPOONER
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Credential | LCSW-BACS
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Telephone | 225-627-3470
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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 |
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License Number State |
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