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General NPI Number Information
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NPI Number | 1770186496
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Entity Type | Individual
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Provider Name | KRISTEN LINDLEY LICSW
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Gender | Female
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Dates
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Enumeration Date | 11/17/2020
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Last Update Date | 10/18/2023
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Provider Practice Location Address
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Address Line | 2033 6TH AVE STE 826
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City | SEATTLE
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State | WA
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Zip | 98121-2593
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Country | US
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Telephone | 206-414-8918
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Fax |
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Provider Business Mailing Address
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Address Line | 2033 6TH AVE STE 826
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City | SEATTLE
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State | WA
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Zip | 98121-2593
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Country | US
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Telephone | 206-414-8918
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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 | 000123213
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License Number State | MA
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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 | LW61224018
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License Number State | WA
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