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General NPI Number Information
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NPI Number | 1760489801
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Entity Type | Individual
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Provider Name | CATHY HESS LANGFORD LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/05/2005
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Last Update Date | 06/20/2020
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Provider Practice Location Address
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Address Line | 2370 QUINLAND LAKE RD STE 102
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City | COOKEVILLE
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State | TN
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Zip | 38506-7518
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Country | US
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Telephone | 931-651-1641
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Fax | 931-651-1694
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Provider Business Mailing Address
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Address Line | 2370 QUINLAND LAKE RD STE 102
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City | COOKEVILLE
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State | TN
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Zip | 38506-7518
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Country | US
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Telephone | 931-651-1641
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Fax | 931-651-1694
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LSW0000004155
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License Number State | TN
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