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General NPI Number Information
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NPI Number | 1942647581
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Entity Type | Individual
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Provider Name | KATHERINE O'NEAL HENSON LCSW
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Gender | Female
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Dates
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Enumeration Date | 05/22/2013
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 1400 MURRELL TAYLOR DR
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City | JACKSONVILLE
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State | AR
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Zip | 72076-8118
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Country | US
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Telephone | 501-241-1676
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 497
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City | AUGUSTA
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State | AR
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Zip | 72006-0497
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Country | US
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Telephone | 870-347-2534
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 6982-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 | 6982-C
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License Number State | AR
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