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NPI 1336475714

NPI 1336475714 : CATHERINE WHITE LMSW : SPARTANBURG, SC

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General NPI Number Information
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    NPI Number           |    1336475714
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    Entity Type          |    Individual 
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    Provider Name        |    CATHERINE WHITE LMSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/20/2009
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    Last Update Date     |    10/20/2009
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Provider Practice Location Address
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    Address Line         |    710 S CHURCH ST 
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    City                 |    SPARTANBURG
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    State                |    SC
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    Zip                  |    29306-5345
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    Country              |    US
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    Telephone            |    864-585-1764
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5285 POGUE ST 
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    City                 |    SPARTANBURG
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    State                |    SC
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    Zip                  |    29301-3416
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    Country              |    US
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    Telephone            |    864-580-8850
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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        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    9370
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    License Number State |    SC
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