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General NPI Number Information
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NPI Number | 1639053770
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Entity Type | Organization
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Legal Business Name | KATHY BODWELL LCSW
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Dates
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Enumeration Date | 08/01/2025
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 5671 N ORACLE RD STE 1101
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City | TUCSON
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State | AZ
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Zip | 85704-3855
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Country | US
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Telephone | 520-270-2996
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Fax | 866-538-5519
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Provider Business Mailing Address
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Address Line | 5671 N ORACLE RD STE 1101
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City | TUCSON
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State | AZ
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Zip | 85704-3855
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Country | US
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Telephone | 520-270-2996
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Fax | 866-538-5519
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Authorized Official
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Title or Position | LCSW/PSYCHOTHERAPIST
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Name | MRS. KATHY BODWELL
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Credential | LCSW
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Telephone | 520-270-2996
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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 |
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License Number State |
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