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General NPI Number Information
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NPI Number | 1962209197
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Entity Type | Individual
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Provider Name | KATHRYN BROOKE KINDLER LMSW
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Gender | Female
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Dates
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Enumeration Date | 02/26/2025
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 8504 MAPLEVILLE RD
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City | BOONSBORO
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State | MD
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Zip | 21713-1817
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Country | US
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Telephone | 301-733-9067
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Fax |
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Provider Business Mailing Address
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Address Line | 1500 WASHINGTON ST
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City | BOLIVAR
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State | WV
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Zip | 25425-7293
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Country | US
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Telephone | 434-242-7110
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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 | 32772
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License Number State | MD
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