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General NPI Number Information
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NPI Number | 1902651730
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Entity Type | Organization
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Legal Business Name | KAREN NAVARRO LICENSED CLINICAL SOCIAL WORKER INC
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Dates
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Enumeration Date | 04/23/2024
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Last Update Date | 04/23/2024
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Provider Practice Location Address
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Address Line | 2424 DWIGHT WAY STE 3
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City | BERKELEY
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State | CA
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Zip | 94704-2365
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Country | US
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Telephone | 415-323-3294
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Fax |
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Provider Business Mailing Address
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Address Line | 615 DURANT AVE
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City | SAN LEANDRO
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State | CA
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Zip | 94577-1956
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Country | US
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Telephone | 415-323-3294
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. KAREN NAVARRO
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Credential | LCSW
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Telephone | 415-323-3294
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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 |
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License Number State |
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