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General NPI Number Information
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NPI Number | 1841721842
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Entity Type | Individual
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Provider Name | KATLYN GIRSCH LCSW
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Gender | Female
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Dates
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Enumeration Date | 03/22/2017
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Last Update Date | 04/17/2017
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Provider Practice Location Address
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Address Line | 1S132 SUMMIT AVE SUITE 305C
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City | OAKBROOK TERRACE
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State | IL
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Zip | 60181-3955
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Country | US
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Telephone | 630-244-3387
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Fax |
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Provider Business Mailing Address
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Address Line | 5705 FAIRMOUNT AVE
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City | DOWNERS GROVE
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State | IL
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Zip | 60516-1414
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Country | US
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Telephone |
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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 | 149.018242
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License Number State | IL
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