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General NPI Number Information
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NPI Number | 1437317161
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Entity Type | Individual
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Provider Name | KATRINA ILENE MEIER LICSAW
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Gender | Female
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Dates
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Enumeration Date | 05/29/2008
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Last Update Date | 02/15/2018
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Provider Practice Location Address
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Address Line | 625 S DIAMOND ST
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City | CENTRALIA
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State | WA
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Zip | 98531-3817
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Country | US
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Telephone | 360-736-5460
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Fax | 360-736-1093
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Provider Business Mailing Address
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Address Line | 109 ALEXANDER DR
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City | CHEHALIS
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State | WA
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Zip | 98532-9602
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Country | US
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Telephone | 360-880-2449
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Fax | 360-736-1093
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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 | 602-822-352
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License Number State | WA
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