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General NPI Number Information
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NPI Number | 1598747610
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Entity Type | Individual
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Provider Name | KATHLEEN LOUISE LITZENBERGER LCSW, ACSW DCSW
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Gender | Female
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Dates
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Enumeration Date | 11/15/2005
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Last Update Date | 06/20/2024
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Provider Practice Location Address
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Address Line | 7204 HIGHWAY 329 STE 102
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City | CRESTWOOD
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State | KY
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Zip | 40014-8875
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Country | US
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Telephone | 336-686-2157
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Fax |
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Provider Business Mailing Address
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Address Line | 4506 YAGER LN
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City | LOUISVILLE
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State | KY
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Zip | 40241-1723
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Country | US
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Telephone | 336-686-2157
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 254467
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License Number State | KY
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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 | C003903
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License Number State | NC
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