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General NPI Number Information
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NPI Number | 1942947023
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Entity Type | Organization
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Legal Business Name | KRISTEN CATLIN, LICSW CONSULTING INC
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Dates
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Enumeration Date | 05/19/2022
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Last Update Date | 05/19/2022
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Provider Practice Location Address
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Address Line | 116 E HOWARD ST APT 525
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City | QUINCY
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State | MA
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Zip | 02169-8784
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Country | US
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Telephone | 857-217-2014
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Fax |
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Provider Business Mailing Address
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Address Line | 116 E HOWARD ST APT 525
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City | QUINCY
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State | MA
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Zip | 02169-8784
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Country | US
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Telephone | 339-204-3225
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MS. KRISTEN CATLIN
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Credential | LICSW
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Telephone | 857-217-2014
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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