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General NPI Number Information
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NPI Number | 1093908717
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Entity Type | Individual
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Provider Name | KATHY HARVEY LCADC, LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/27/2007
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Last Update Date | 09/03/2023
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Provider Practice Location Address
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Address Line | 1416 N MAIN ST
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City | PLEASANTVILLE
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State | NJ
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Zip | 08232-1037
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Country | US
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Telephone | 609-272-0101
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Fax | 609-272-1345
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Provider Business Mailing Address
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Address Line | 1416 N MAIN ST
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City | PLEASANTVILLE
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State | NJ
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Zip | 08232-1037
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Country | US
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Telephone | 609-276-7167
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Fax | 609-272-1345
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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 | 44SC05755800
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 37LC00150700
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License Number State | NJ
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