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General NPI Number Information
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NPI Number | 1932895851
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Entity Type | Individual
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Provider Name | KATLYN KRIETZ LMSW
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Gender | Female
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Dates
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Enumeration Date | 04/13/2023
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Last Update Date | 04/13/2023
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Provider Practice Location Address
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Address Line | 417 E BALTIMORE ST
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City | TANEYTOWN
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State | MD
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Zip | 21787-2300
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Country | US
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Telephone | 301-791-3087
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Fax | 443-293-7086
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Provider Business Mailing Address
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Address Line | 10 VIEW TRL
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City | FAIRFIELD
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State | PA
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Zip | 17320-8438
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Country | US
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Telephone | 717-408-5400
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 29736
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License Number State | MD
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