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General NPI Number Information
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NPI Number | 1750050043
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Entity Type | Individual
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Provider Name | KATHRYN F LEINN LICSW
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Gender | Female
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Dates
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Enumeration Date | 09/09/2021
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Last Update Date | 09/09/2021
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Provider Practice Location Address
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Address Line | 2100 24TH AVE S STE 360
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City | SEATTLE
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State | WA
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Zip | 98144-4646
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Country | US
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Telephone | 206-303-9588
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Fax |
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Provider Business Mailing Address
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Address Line | 358 MAIN ST
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City | WAKEFIELD
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State | MA
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Zip | 01880-5050
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Country | US
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Telephone | 781-254-6579
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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 | LW60592047
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License Number State | WA
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