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General NPI Number Information
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NPI Number | 1316602352
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Entity Type | Individual
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Provider Name | KATHRYN LIGE LCSW
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Gender | Female
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Dates
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Enumeration Date | 11/04/2021
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Last Update Date | 09/08/2024
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Provider Practice Location Address
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Address Line | 300 MURCHISON DR
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City | MILLBRAE
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State | CA
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Zip | 94030-3053
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Country | US
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Telephone | 650-395-8022
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Fax |
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Provider Business Mailing Address
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Address Line | 2310 HOMESTEAD RD STE C1410
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City | LOS ALTOS
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State | CA
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Zip | 94024-7339
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Country | US
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Telephone | 650-395-8022
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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 | 108491
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | 190243703
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License Number State | CA
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