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NPI Code Detail

MEDICARE: KATHERINE A PIERCE LCSW

MEDICARE: KATHERINE A PIERCE 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 WorkerIL

General Provider Information

NPI Number : 1730366014
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE A PIERCE LCSW
Provider Business Mailing Address
First Line : 233 W JOE ORR RD
Second Line :
City : CHICAGO HEIGHTS
State : IL
Zip : 60411-1744
Country : US
Telephone Number : 708-709-7470
Fax Number : 708-747-3497
Provider Business Practice Location Address
First Line : 233 W JOE ORR RD
Second Line :
City : CHICAGO HEIGHTS
State : IL
Zip : 60411-1744
Country : US
Telephone Number : 708-709-7470
Fax Number : 708-747-3497
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2008
Last Update Date : 02/08/2008

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Directions to “ KATHERINE A PIERCE LCSW” Practice Location

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