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General NPI Number Information
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NPI Number | 1639743719
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Entity Type | Organization
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Legal Business Name | KATHERINE FOUTZ LCSW PLLC
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Dates
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Enumeration Date | 05/13/2021
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Last Update Date | 09/21/2023
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Provider Practice Location Address
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Address Line | 7531 SPICEWOOD DR
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City | GARLAND
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State | TX
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Zip | 75044-2568
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Country | US
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Telephone | 729-729-9360
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Fax |
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Provider Business Mailing Address
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Address Line | 5435 N GARLAND AVE STE 140 #253
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City | GARLAND
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State | TX
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Zip | 75040-2787
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Country | US
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Telephone | 214-402-0613
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | KATHERINE FOUTZ
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Credential | LCSW
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Telephone | 972-729-9360
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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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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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