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General NPI Number Information
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NPI Number | 1720832314
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Entity Type | Organization
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Legal Business Name | K.C. RANEY LCSW, PLLC
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Dates
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Enumeration Date | 04/11/2024
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Last Update Date | 04/11/2024
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Provider Practice Location Address
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Address Line | 4220 PURDUE ST
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City | HOUSTON
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State | TX
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Zip | 77005-1042
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Country | US
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Telephone | 713-987-7731
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Fax |
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Provider Business Mailing Address
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Address Line | 2726 BISSONNET ST STE 240
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City | HOUSTON
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State | TX
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Zip | 77005-1352
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Country | US
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Telephone | 713-987-7731
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Fax |
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Authorized Official
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Title or Position | LICENSED CLINICAL SOCIAL WORKER
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Name | KIRSTIN RANEY
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Credential | LCSW
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Telephone | 713-987-7731
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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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