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General NPI Number Information
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NPI Number | 1538947585
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Entity Type | Individual
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Provider Name | KRISTEN CHANDLER POWERS LCSW, MPH
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Gender | Female
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Dates
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Enumeration Date | 09/20/2023
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Last Update Date | 11/28/2025
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Provider Practice Location Address
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Address Line | 15 W HARRIS AVE # 17
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City | LA GRANGE
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State | IL
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Zip | 60525-2368
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Country | US
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Telephone | 502-939-3323
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Fax |
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Provider Business Mailing Address
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Address Line | 15 W HARRIS AVE # 17
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City | LA GRANGE
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State | IL
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Zip | 60525-2368
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Country | US
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Telephone | 502-939-3323
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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 | 149.029240
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License Number State | IL
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