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General NPI Number Information
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NPI Number | 1881899763
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Entity Type | Individual
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Provider Name | LADONNA LEE BEACHY LCSW
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Gender | Female
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Dates
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Enumeration Date | 06/19/2007
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Last Update Date | 03/24/2021
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Provider Practice Location Address
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Address Line | BUTTONWOOD BUSINESS CENTER - WREN COUNSELING SOLUTIONS 3610 BUTTONWOOD DR. STE 200
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City | COLUMBIA
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State | MO
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Zip | 65201
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Country | US
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Telephone | 573-886-8900
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Fax |
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Provider Business Mailing Address
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Address Line | 3610 BUTTONWOOD DR. STE. 200
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City | COLUMBIA
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State | MO
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Zip | 65201
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Country | US
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Telephone | 573-615-4320
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Fax |
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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 | 2005019515
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License Number State | MO
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