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General NPI Number Information
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NPI Number | 1578284089
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Entity Type | Individual
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Provider Name | KATRINA MARIE CRIARIS LMSW
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Gender | Female
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Dates
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Enumeration Date | 09/05/2022
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Last Update Date | 09/05/2022
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Provider Practice Location Address
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Address Line | 3000 MANCHESTER RD # B
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City | MANCHESTER
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State | MD
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Zip | 21102-1850
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Country | US
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Telephone | 410-861-0066
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Fax |
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Provider Business Mailing Address
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Address Line | 746 WINCHESTER DR
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City | WESTMINSTER
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State | MD
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Zip | 21157-5745
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Country | US
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Telephone | 609-273-5150
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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 | 28325
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License Number State | MD
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