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General NPI Number Information
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NPI Number | 1962871681
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Entity Type | Individual
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Provider Name | KATONYA MCGIRT PHD, LICSW, CCHT
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Gender | Female
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Dates
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Enumeration Date | 09/23/2015
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Last Update Date | 10/17/2024
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Provider Practice Location Address
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Address Line | 5608 17TH AVE NW # 1115
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City | SEATTLE
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State | WA
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Zip | 98107-5232
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Country | US
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Telephone | 253-244-3446
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Fax | 253-793-0344
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Provider Business Mailing Address
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Address Line | 5608 17TH AVE NW STE 1115
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City | SEATTLE
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State | WA
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Zip | 98107-5232
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Country | US
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Telephone | 253-244-3446
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Fax | 253-793-0344
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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 | 60992901
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | TPSW274
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 30808
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License Number State | MD
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