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General NPI Number Information
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NPI Number | 1083017602
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Entity Type | Individual
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Provider Name | CATHERINE SWAN LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/28/2014
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Last Update Date | 07/31/2015
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Provider Practice Location Address
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Address Line | 1832 SNAKE RIVER RD SUITE E
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City | KATY
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State | TX
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Zip | 77449-7741
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Country | US
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Telephone | 832-278-8511
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Fax | 281-715-2859
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Provider Business Mailing Address
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Address Line | 6725 S FRY RD SUITE 700-340
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City | KATY
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State | TX
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Zip | 77494-8102
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Country | US
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Telephone | 832-278-8511
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Fax | 281-715-2859
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 40268
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License Number State | TX
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