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General NPI Number Information
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NPI Number | 1760900054
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Entity Type | Individual
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Provider Name | STEPHANIE MCKENNA HORAN LICSW
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Gender | Female
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Dates
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Enumeration Date | 09/06/2017
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 7507 NE 51ST ST
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City | VANCOUVER
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State | WA
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Zip | 98662-6007
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Country | US
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Telephone | 360-906-1190
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Fax |
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Provider Business Mailing Address
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Address Line | 25235 SE KLAHANIE BLVD APT L301
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City | SAMMAMISH
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State | WA
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Zip | 98029-5605
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Country | US
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Telephone | 720-271-5146
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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 | 10844323-3501
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License Number State | UT
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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 | LW61177805
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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