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General NPI Number Information
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NPI Number | 1871193409
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Entity Type | Organization
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Legal Business Name | THREE KORDS THERAPY
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Dates
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Enumeration Date | 11/01/2020
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Last Update Date | 12/16/2021
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Provider Practice Location Address
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Address Line | 4008 PARLIAMENT DR
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City | ALEXANDRIA
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State | LA
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Zip | 71303-3017
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Country | US
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Telephone | 318-730-2688
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Fax |
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Provider Business Mailing Address
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Address Line | 4008 PARLIAMENT DR
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City | ALEXANDRIA
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State | LA
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Zip | 71303-3017
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Country | US
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Telephone | 318-487-3226
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. LASHONDRA BROWN-DIXON
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Credential | MSW, LCSW
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Telephone | 318-487-3226
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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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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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