Ila Maureen Debose in Fort Smith - Clinical

Ila Maureen Debose - NPI 1740477322

Ila Maureen Debose is a Clinical in Fort Smith, Arkansas. Ila Maureen Debose practices all healthcare services and medical treatments related to Clinical. The NPI Number for Ila Maureen Debose is 1740477322. The last update date is 2015-04-09.

Ila Maureen Debose's current location address is 5410 Free Ferry Rd, Fort Smith, Arkansas. You can contact this provider via phone number 4797197051 and fax number 4794945685. The mailing address for Ila Maureen Debose is 5410 Free Ferry Rd, Fort Smith, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Ila Maureen Debose
Address 5410 Free Ferry Rd, Fort Smith, Arkansas
Phone Number 4797197051
Fax Number 4794945685
Sole Proprietor Y
Credentials LCSW

NPI Number Detail

NPI Number 1740477322
Provider Enumeration Date 2007-09-27
Last Updated Date 2015-04-09

Provider Mailing Address Detail

Address 5410 Free Ferry Rd
City Fort Smith
State Arkansas (AR)
Post Code 729032522
Phone Number 4797197051
Fax Number 4794945685

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 2158-C
Definition:
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif

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FAQs about Ila Maureen Debose

What is the unique identifier code issued to Ila Maureen Debose by the Centers for Medicare & Medicaid Services (CMS)?

The Ila Maureen Debose has been assigned the NPI (National Provider Identifier) 1740477322. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Ila Maureen Debose is physically located?

The Ila Maureen Debose is situated at the following address: 5410 Free Ferry Rd, Fort Smith, AR 729032522.

What is Ila Maureen Debose's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Ila Maureen Debose is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.

On what date did the Centers for Medicare & Medicaid Services assign the 1740477322 to Ila Maureen Debose?

The Centers for Medicare & Medicaid Services assigned the 1740477322 to Ila Maureen Debose on 2007-09-27.

As of what date were the details pertaining to Ila Maureen Debose last refreshed?

The information related to the Ila Maureen Debose, including its address, specialty, and other relevant details, was last updated on 2015-04-09.

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