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General NPI Number Information
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NPI Number | 1821396300
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Entity Type | Individual
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Provider Name | CATHY ALBERTA VALADES-FLYNN MSW, LCSW
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Gender | Female
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Dates
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Enumeration Date | 03/07/2011
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Last Update Date | 03/07/2011
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Provider Practice Location Address
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Address Line | 204 MCCOLLUM DR SUITE 106
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City | LARAMIE
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State | WY
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Zip | 82070-5103
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Country | US
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Telephone | 307-721-2827
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Fax | 307-742-0361
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Provider Business Mailing Address
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Address Line | 1661 COUGHLIN ST
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City | LARAMIE
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State | WY
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Zip | 82072-2321
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Country | US
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Telephone | 307-760-9396
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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 | LCSW-048
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License Number State | WY
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