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General NPI Number Information
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NPI Number | 1629446794
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Entity Type | Individual
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Provider Name | KRISTEN HUGHES LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/08/2015
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Last Update Date | 09/08/2015
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Provider Practice Location Address
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Address Line | 12110 CLAYTON RD
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City | SAINT LOUIS
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State | MO
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Zip | 63131-2516
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Country | US
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Telephone | 314-989-8150
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Fax |
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Provider Business Mailing Address
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Address Line | 805 ROTHERHAM DR
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City | BALLWIN
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State | MO
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Zip | 63011-3528
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Country | US
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Telephone | 314-496-3545
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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 | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | 2009036494
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License Number State | MO
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