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General NPI Number Information
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NPI Number | 1831315167
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Entity Type | Individual
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Provider Name | KATHY LOUISE MUNRO LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 08/01/2023
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Provider Practice Location Address
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Address Line | 1610 NEWCASTLE ST
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City | BRUNSWICK
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State | GA
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Zip | 31520-6846
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Country | US
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Telephone | 912-358-2344
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Fax |
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Provider Business Mailing Address
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Address Line | 200 GLEN MEADOWS CIR
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City | BRUNSWICK
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State | GA
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Zip | 31523-1574
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Country | US
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Telephone | 912-358-2344
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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 | P002643
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License Number State | NC
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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 | CSW005476
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C006364
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License Number State | NC
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