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General NPI Number Information
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NPI Number | 1770026080
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Entity Type | Organization
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Legal Business Name | CASEY L FRENCH
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Dates
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Enumeration Date | 11/18/2016
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Last Update Date | 11/18/2016
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Provider Practice Location Address
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Address Line | 101 FOUR WINDS DR
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City | SAINT PETERS
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State | MO
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Zip | 63376-5926
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Country | US
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Telephone | 636-544-6468
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Fax |
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Provider Business Mailing Address
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Address Line | 101 FOUR WINDS DR
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City | SAINT PETERS
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State | MO
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Zip | 63376-5926
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | MRS. CASEY FRENCH
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Credential | MA LPC
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Telephone | 636-544-6468
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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 | 2015011483
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License Number State | MO
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