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NPI Code Detail

MEDICARE: CATHERINE TOTTEN LCSW

MEDICARE: CATHERINE TOTTEN LCSW
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 Worker275-CAR

General Provider Information

NPI Number : 1699723437
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERINE TOTTEN LCSW
Provider Business Mailing Address
First Line : PO BOX 264
Second Line :
City : FAYETTEVILLE
State : AR
Zip : 72702-0264
Country : US
Telephone Number : 479-973-9790
Fax Number : 479-973-9790
Provider Business Practice Location Address
First Line : 111 E DAVIDSON ST
Second Line :
City : FAYETTEVILLE
State : AR
Zip : 72701-3413
Country : US
Telephone Number : 479-973-9790
Fax Number : 479-973-9790
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2006
Last Update Date : 07/28/2010

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Directions to “ CATHERINE TOTTEN LCSW” Practice Location

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