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General NPI Number Information
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NPI Number | 1861524480
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Entity Type | Individual
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Provider Name | KATHERINE DREWRY LCSW
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Gender | Female
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Dates
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Enumeration Date | 03/09/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1 UNIVERSITY BLVD KATHY J. WEINMAN CENTER
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City | SAINT LOUIS
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State | MO
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Zip | 63121-4400
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Country | US
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Telephone | 314-516-7364
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Fax | 314-516-6624
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Provider Business Mailing Address
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Address Line | 1155 CLAYTONIA TER APT. 2-SOUTH
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City | SAINT LOUIS
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State | MO
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Zip | 63117-1572
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Country | US
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Telephone | 314-516-7364
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Fax | 314-516-6624
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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 | 2005002664
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License Number State | MO
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