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NPI Code Detail

MEDICARE: ALYSSA DUBOIS LMSW

MEDICARE: ALYSSA DUBOIS LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerLMSWAR

General Provider Information

NPI Number : 1063374916
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSSA DUBOIS LMSW
Provider Business Mailing Address
First Line : 125 WELLNESS WAY
Second Line :
City : HOT SPRINGS
State : AR
Zip : 71913-6478
Country : US
Telephone Number : 501-624-7111
Fax Number : 501-620-5109
Provider Business Practice Location Address
First Line : 1615 MARTIN LUTHER KING BLVD
Second Line :
City : MALVERN
State : AR
Zip : 72104-2233
Country : US
Telephone Number : 501-332-5236
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2025
Last Update Date : 12/01/2025

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Directions to “ ALYSSA DUBOIS LMSW” Practice Location

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