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General NPI Number Information
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NPI Number | 1942722848
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Entity Type | Individual
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Provider Name | KRISTEN LYN ARNTZEN LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/12/2017
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 1498 SE TECH CENTER PL STE 300
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City | VANCOUVER
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State | WA
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Zip | 98683-5509
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Country | US
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Telephone | 360-619-2226
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Fax |
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Provider Business Mailing Address
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Address Line | 151 SAXON DRIVE
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City | THUNDER BAY
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State | ONTARIO
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Zip | P7G 1K3
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Country | CA
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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 | L7678
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LW60894558
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License Number State | WA
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