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General NPI Number Information
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NPI Number | 1487794962
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Entity Type | Individual
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Provider Name | KATHERINE LEDWITH DSW, MSW, LCSW
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Gender | Female
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 100 S BROAD ST STE 1522
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City | PHILADELPHIA
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State | PA
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Zip | 19110-1026
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Country | US
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Telephone | 215-606-7674
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Fax |
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Provider Business Mailing Address
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Address Line | 100 S BROAD ST STE 1522
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City | PHILADELPHIA
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State | PA
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Zip | 19110-1026
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Country | US
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Telephone | 215-606-7674
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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 | SW124679
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 44SL05361500
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CW015979
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License Number State | PA
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