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General NPI Number Information
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NPI Number | 1740325158
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Entity Type | Individual
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Provider Name | KATHRYN MARY FERRANTELLI LCSW
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Gender | Female
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 190 WESTBROOK RD
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City | ESSEX
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State | CT
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Zip | 06426
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Country | US
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Telephone | 860-767-0147
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Fax | 860-767-0148
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Provider Business Mailing Address
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Address Line | 9 DAY DRIVE
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City | OLD SAYBROOK
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State | CT
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Zip | 06475
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Country | US
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Telephone | 860-227-4921
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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 | 003682
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License Number State | CT
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