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NPI Code Detail

MEDICARE: MS. AMY ROCHELLE AUKES MSW, LCSW

MEDICARE:  MS. AMY ROCHELLE AUKES  MSW, LCSW
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
1104100000XSocial Worker1913-MAR
21041C0700XClinical Social Worker2316-CAR

General Provider Information

NPI Number : 1669554101
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. AMY ROCHELLE AUKES MSW, LCSW
Provider Business Mailing Address
First Line : 100 RIVENDELL DR
Second Line :
City : BENTON
State : AR
Zip : 72019-9188
Country : US
Telephone Number : 501-316-1255
Fax Number :
Provider Business Practice Location Address
First Line : 100 RIVENDELL DR
Second Line :
City : BENTON
State : AR
Zip : 72019-9188
Country : US
Telephone Number : 501-316-1255
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2006
Last Update Date : 05/02/2013

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Directions to “ MS. AMY ROCHELLE AUKES MSW, LCSW” Practice Location

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