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General NPI Number Information
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NPI Number | 1386766814
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Entity Type | Organization
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Legal Business Name | KJW AND ASSOCIATES, LLC
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 10/08/2024
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Provider Practice Location Address
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Address Line | 530 BRANDYWINE AVE
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City | DOWNINGTOWN
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State | PA
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Zip | 19335-3418
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Country | US
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Telephone | 484-883-1040
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Fax | 267-494-0355
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Provider Business Mailing Address
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Address Line | 530 BRANDYWINE AVE
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City | DOWNINGTOWN
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State | PA
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Zip | 19335-3418
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Country | US
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Telephone | 484-883-1040
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Fax | 267-494-0355
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | KATHLEEN JOYCE WEST
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Credential | PHD
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Telephone | 610-518-6020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PS-008361-L
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License Number State | PA
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