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General NPI Number Information
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NPI Number | 1508230947
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Entity Type | Individual
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Provider Name | KAITLYN ANNE LEE B.S., MSW, LICSW
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Gender | Female
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Dates
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Enumeration Date | 11/23/2015
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 323 E 2ND AVE STE 201
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City | SPOKANE
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State | WA
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Zip | 99202-1455
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Country | US
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Telephone | 509-207-2707
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Fax |
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Provider Business Mailing Address
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Address Line | 323 E 2ND AVE STE 201
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City | SPOKANE
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State | WA
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Zip | 99202-1455
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Country | US
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Telephone | 509-207-2707
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SC61063206
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LW61547020
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License Number State | WA
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