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General NPI Number Information
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NPI Number | 1518839315
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Entity Type | Individual
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Provider Name | CARIN KETTMAN LSW
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Gender | Female
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Dates
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Enumeration Date | 09/22/2025
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 325 WASHINGTON ST
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City | AURORA
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State | IN
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Zip | 47001-1536
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Country | US
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Telephone | 812-954-5121
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Fax | 812-655-9584
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Provider Business Mailing Address
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Address Line | 28340 N DEARBORN CROSSING LN
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City | WEST HARRISON
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State | IN
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Zip | 47060-9035
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Country | US
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Telephone | 812-954-5121
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Fax | 812-655-9584
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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 | 99126250A
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License Number State | IN
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