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General NPI Number Information
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NPI Number | 1831556653
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Entity Type | Individual
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Provider Name | KENNETH KEALA MARSHALL MSW, LSWAIC
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Gender | Male
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Dates
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Enumeration Date | 01/25/2016
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Last Update Date | 01/04/2021
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Provider Practice Location Address
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Address Line | 1421 34TH AVE STE 205
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City | SEATTLE
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State | WA
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Zip | 98122-3634
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Country | US
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Telephone | 206-485-3557
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Fax | 855-440-1447
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Provider Business Mailing Address
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Address Line | 1421 34TH AVE STE 205
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City | SEATTLE
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State | WA
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Zip | 98122-3634
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Country | US
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Telephone | 206-485-3557
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Fax | 855-440-1447
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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 | LW60804492
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License Number State | WA
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