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General NPI Number Information
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NPI Number | 1770116923
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Entity Type | Organization
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Legal Business Name | KATE ST. ONGE, LCSW LLC
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Dates
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Enumeration Date | 02/17/2020
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Last Update Date | 02/17/2020
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Provider Practice Location Address
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Address Line | 2 FOREST PARK DR
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City | FARMINGTON
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State | CT
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Zip | 06032-1445
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Country | US
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Telephone | 860-264-5957
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Fax |
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Provider Business Mailing Address
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Address Line | 160 ORCHARD HILL RD
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City | HARWINTON
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State | CT
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Zip | 06791-1621
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Country | US
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Telephone | 860-309-9010
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | KATHERINE ST. ONGE
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Credential | LCSW
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Telephone | 860-309-9010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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