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General NPI Number Information
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NPI Number | 1760535157
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Entity Type | Individual
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Provider Name | KATHERINE HOWARD JONES MSSW, LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 01/15/2020
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Provider Practice Location Address
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Address Line | 555 W HARRISON ST
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City | ROSEBURG
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State | OR
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Zip | 97471-2918
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Country | US
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Telephone | 541-580-5861
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Fax | 541-637-0405
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Provider Business Mailing Address
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Address Line | 555 W HARRISON ST
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City | ROSEBURG
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State | OR
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Zip | 97471-2918
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Country | US
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Telephone | 541-580-5861
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Fax | 541-637-0405
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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 | L3311
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License Number State | OR
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