Individual
BARBARA J. GORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
451 W LOCKE ST, SUITE B, ASHDOWN, AR 71822-3325
(870) 898-4105
Mailing address
P.O. BOX 665, ASHDOWN, AR 71822
(870) 898-4105
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1254-C
AR
1041C0700X
Clinical Social Worker
25726
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0067HN
BCBS
TX
05
—
145878801
—
TX
05
—
145878802
—
TX
01
—
257067
MHN
TX
Enumeration date
11/21/2006
Last updated
12/04/2014
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