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General NPI Number Information
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NPI Number | 1962692392
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Entity Type | Organization
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Legal Business Name | KATHERINE JONES, LISW-CP, LLC
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Dates
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Enumeration Date | 08/01/2007
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Last Update Date | 01/13/2009
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Provider Practice Location Address
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Address Line | 1721 EBENEZER RD SUITE 215
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City | ROCK HILL
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State | SC
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Zip | 29732-4103
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Country | US
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Telephone | 803-322-8032
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Fax |
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Provider Business Mailing Address
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Address Line | 1717 CLEVELAND AVE
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City | CHARLOTTE
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State | NC
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Zip | 28203-4735
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Country | US
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Telephone | 803-322-8032
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. KATHERINE E JONES
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Credential | LISW-CP
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Telephone | 803-322-8032
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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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