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General NPI Number Information
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NPI Number | 1730555749
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Entity Type | Individual
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Provider Name | KATRINA HENSON MSW
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Gender | Female
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Dates
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Enumeration Date | 08/12/2015
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 2470 PATTERSON RD STE 619
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City | GRAND JUNCTION
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State | CO
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Zip | 81505-1028
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Country | US
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Telephone | 970-462-7464
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Fax |
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Provider Business Mailing Address
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Address Line | 571 25 RD
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City | GRAND JUNCTION
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State | CO
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Zip | 81505-1303
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Country | US
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Telephone | 970-462-7464
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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 | 104100000X
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Taxonomy Name | 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 | 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 #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CSW.09931593
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License Number State | CO
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