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NPI Code Detail

MEDICARE: MRS. KATHRYN JUDITH CHEFETZ MSW

MEDICARE:  MRS. KATHRYN JUDITH CHEFETZ  MSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerLC003009218DC

General Provider Information

NPI Number : 1083752141
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KATHRYN JUDITH CHEFETZ MSW
Provider Business Mailing Address
First Line : 4612 49TH ST NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20016-4321
Country : US
Telephone Number : 202-362-4938
Fax Number : 202-244-5676
Provider Business Practice Location Address
First Line : 4612 49TH ST NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20016-4321
Country : US
Telephone Number : 202-362-4938
Fax Number : 202-244-5676
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. KATHRYN JUDITH CHEFETZ MSW” Practice Location

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