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General NPI Number Information
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NPI Number | 1780398115
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Entity Type | Individual
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Provider Name | CATHERINE KLEN MCQUADE LMSW
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Gender | Female
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Dates
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Enumeration Date | 01/10/2023
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Last Update Date | 01/10/2023
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Provider Practice Location Address
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Address Line | 3113 ROSWELL RD STE 204
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City | MARIETTA
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State | GA
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Zip | 30062-5500
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Country | US
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Telephone | 770-421-5271
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Fax | 404-481-2031
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Provider Business Mailing Address
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Address Line | 131 HELMSWOOD CIR SW
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City | MARIETTA
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State | GA
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Zip | 30064-5015
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Country | US
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Telephone | 404-944-4135
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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 | MSW010819
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | MSW010819
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License Number State | GA
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