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General NPI Number Information
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NPI Number | 1013775121
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Entity Type | Organization
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Legal Business Name | CATIE PETERS LCSW
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Dates
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Enumeration Date | 03/12/2024
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Last Update Date | 03/15/2024
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Provider Practice Location Address
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Address Line | 2244 FARADAY AVE
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City | CARLSBAD
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State | CA
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Zip | 92008-7208
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Country | US
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Telephone | 858-461-8266
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Fax |
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Provider Business Mailing Address
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Address Line | 1150 GARDEN VIEW RD UNIT 230653
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City | ENCINITAS
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State | CA
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Zip | 92023-3027
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CATHERINE PETERS
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Credential | LCSW
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Telephone | 858-461-8266
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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