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BARBARA J. GORE LCSW

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1669547147

Individual Registrant:
 BARBARA J. GORE LCSW
Gender: F
Sole Proprietor

Location and contact information for practice:
451 W LOCKE ST SUITE B ASHDOWN, AR 71822-3325 US
Tel: 870-898-4105  Fax: --

Contact information for business:
P.O. BOX 665  ASHDOWN, AR 71822 US
Tel: 870-898-4105  Fax: --

Registration Information:
NPI: 1669547147
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
AR1254-C
N1041C0700XBehavioral Health & Social Service Providers
Social Worker
TX25726

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
BCBS0067HNTX01
145878801TX05
145878802TX05
MHN257067TX01




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