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Individual

MS. LANA BECKING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
714A ASH FLAT DR., ASH FLAT, AR 72513
(866) 533-1761
(870) 994-7868
Mailing address
155 W LAKESHORE DR, CHEROKEE VILLAGE, AR 72529-5338
(870) 257-3292
(870) 257-3292

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
005855
MO
1041C0700X
Clinical Social Worker
Primary
2098C
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
494716616
MO
Enumeration date
06/10/2006
Last updated
07/10/2012
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