Doctor Name: | BARBARA J. GORE |
NPI Number: | 1669547147 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 25726 |
Business Practice Address: | 451 W Locke St Suite B Ashdown, AR - 718223325 |
Business Phone Number: | 8708984105 |
Business Fax Number: | |
Mailing Address: | P.o. Box 665, ASHDOWN |
State: | AR |
Postal Code: | 71822 |
Phone Number: | 8708984105 |
Fax Number: | |
NPI Enumeration Date: | 11/21/2006 |
NPI Last Update Date: | 12/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 25726 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |