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General NPI Number Information
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NPI Number | 1134452170
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Entity Type | Individual
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Provider Name | KATHERINE BRENNAN LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/09/2009
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Last Update Date | 03/07/2016
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Provider Practice Location Address
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Address Line | 644 PRESIDENT ST 2L
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City | BROOKLYN
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State | NY
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Zip | 11215-1120
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Country | US
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Telephone | 913-735-3603
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Fax |
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Provider Business Mailing Address
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Address Line | 644 PRESIDENT ST 2L
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City | BROOKLYN
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State | NY
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Zip | 11215-1120
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Country | US
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Telephone | 913-735-3603
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Fax |
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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 | 8396385
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 2009026528
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License Number State | MO
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