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General NPI Number Information
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NPI Number | 1730870791
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Entity Type | Individual
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Provider Name | KATHLEEN D MARGEOTES LICSW
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Gender | Female
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Dates
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Enumeration Date | 05/18/2023
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 9930 EVERGREEN WAY STE Z150
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City | EVERETT
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State | WA
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Zip | 98204-3889
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Country | US
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Telephone | 425-347-5121
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Fax |
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Provider Business Mailing Address
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Address Line | 11812 E GIBSON RD APT B212
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City | EVERETT
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State | WA
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Zip | 98204-8699
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Country | US
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Telephone | 862-223-2004
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 44SL06723800
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License Number State | NJ
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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 | LW61651111
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License Number State | WA
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