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General NPI Number Information
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NPI Number | 1912519935
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Entity Type | Organization
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Legal Business Name | RICHARD L WELCH, LCSW, LLC
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Dates
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Enumeration Date | 08/20/2020
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Last Update Date | 08/20/2020
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Provider Practice Location Address
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Address Line | 409 SE DOUGLAS ST
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City | LEES SUMMIT
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State | MO
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Zip | 64063-4246
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Country | US
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Telephone | 816-365-4070
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Fax |
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Provider Business Mailing Address
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Address Line | 411 SWALLOW ST
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City | WARRENSBURG
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State | MO
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Zip | 64093-2870
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Country | US
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Telephone | 660-624-4909
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Fax | 660-362-0547
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Authorized Official
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Title or Position | COUNSELOR/PSYCHOTHERAPIST
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Name | MR. RICHARD LIN WELCH
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Credential | LCSW, LSCSW
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Telephone | 660-624-4909
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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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