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General NPI Number Information
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NPI Number | 1770710774
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Entity Type | Individual
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Provider Name | GRETCHAN N WEST LCSW
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Gender | Female
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Dates
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Enumeration Date | 06/17/2009
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Last Update Date | 01/17/2025
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Provider Practice Location Address
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Address Line | 301 W SEARCY ST
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City | HEBER SPRINGS
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State | AR
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Zip | 72543-3840
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Country | US
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Telephone | 501-270-9503
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Fax | 501-235-3866
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Provider Business Mailing Address
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Address Line | PO BOX 96
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City | QUITMAN
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State | AR
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Zip | 72131-0096
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Country | US
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Telephone | 501-270-9503
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Fax | 501-235-3866
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 2343-M
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6127-C
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License Number State | AR
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