Audra Renae Prince in Russellville - Clinical
Audra Renae Prince - NPI 1093804106
Audra Renae Prince is a Clinical in Russellville, Arkansas. Audra Renae Prince practices all healthcare services and medical treatments related to Clinical. The NPI Number for Audra Renae Prince is 1093804106. The last update date is 2014-07-15.
Audra Renae Prince's current location address is 701 E Main St, Russellville, Arkansas. You can contact this provider via phone number 4794986700. The mailing address for Audra Renae Prince is 701 E Main St, Russellville, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Audra Renae Prince |
|---|---|
| Address | 701 E Main St, Russellville, Arkansas |
| Phone Number | 4794986700 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MSW LCSW |
NPI Number Detail
| NPI Number | 1093804106 |
|---|---|
| Provider Enumeration Date | 2006-10-12 |
| Last Updated Date | 2014-07-15 |
Provider Mailing Address Detail
| Address | 701 E Main St |
|---|---|
| City | Russellville |
| State | Arkansas (AR) |
| Post Code | 728015247 |
| Phone Number | 4794986700 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 2060C |
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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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What is the Audra Renae Prince's 1093804106?
The Audra Renae Prince's NPI (National Provider Identifier) Number is 1093804106. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Audra Renae Prince?
The Audra Renae Prince is physically situated at 701 E Main St, in the city of Russellville, state of AR, with the postal code 728015247.
What is the Audra Renae Prince's specialty and taxonomy code?
The Audra Renae Prince's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
What is the area of specialization for Audra Renae Prince, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Audra Renae Prince is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
When was the Audra Renae Prince's information last updated?
The Audra Renae Prince's information was last updated on 2014-07-15.
NPI Number: 1982607784
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