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General NPI Number Information
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NPI Number | 1891052916
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Entity Type | Individual
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Provider Name | HALEY SPEER LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/13/2012
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Last Update Date | 05/14/2024
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Provider Practice Location Address
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Address Line | 2417 MICHIGAN AVE
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City | SANTA MONICA
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State | CA
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Zip | 90404-4009
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Country | US
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Telephone | 855-446-4374
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Fax |
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Provider Business Mailing Address
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Address Line | 237 NEBRASKA ST
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City | SPINDALE
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State | NC
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Zip | 28160-1522
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Country | US
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Telephone | 423-608-0922
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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 | BBH-LCSW-LIC-57232
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License Number State | MT
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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 | 5773
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License Number State | TN
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