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General NPI Number Information
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NPI Number | 1184399347
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Entity Type | Individual
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Provider Name | KATHLEEN SUE KNIERIEM MSW, LICSW
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Gender | Female
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Dates
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Enumeration Date | 08/10/2021
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Last Update Date | 08/10/2021
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Provider Practice Location Address
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Address Line | 6401 ROSEMOUNT DR NW
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City | GIG HARBOR
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State | WA
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Zip | 98335-6628
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Country | US
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Telephone | 206-730-2162
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Fax | 253-270-1429
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Provider Business Mailing Address
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Address Line | 2413 BERRY LN E
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City | FIFE
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State | WA
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Zip | 98424-2114
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Country | US
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Telephone | 253-307-8683
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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 |
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License Number State |
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