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General NPI Number Information
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NPI Number | 1023466711
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Entity Type | Organization
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Legal Business Name | KATE GERWIN- LGPC
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Dates
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Enumeration Date | 06/02/2016
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Last Update Date | 06/02/2016
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Provider Practice Location Address
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Address Line | 4 UPLAND RD APT 52
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City | BALTIMORE
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State | MD
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Zip | 21210-2277
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Country | US
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Telephone | 703-608-9193
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Fax |
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Provider Business Mailing Address
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Address Line | 4 UPLAND RD APT 52
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City | BALTIMORE
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State | MD
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Zip | 21210-2277
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Country | US
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Telephone | 703-608-9193
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Fax |
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Authorized Official
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Title or Position | CLINICAL COUNSELOR
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Name | KATHLEEN KATERI GERWIN
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Credential | LGPC
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Telephone | 703-608-9193
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LGP6944
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License Number State | MD
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