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General NPI Number Information
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NPI Number | 1992485437
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Entity Type | Individual
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Provider Name | KATIE JO GENEREUX MSW, JD
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Gender | Female
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Dates
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Enumeration Date | 07/19/2023
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Last Update Date | 07/19/2023
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Provider Practice Location Address
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Address Line | 10605 CONCORD STREET SUITE 207
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City | KENSINGTON
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State | MD
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Zip | 20895
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Country | US
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Telephone | 563-343-4842
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Fax |
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Provider Business Mailing Address
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Address Line | 9906 EDGEHILL LN
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City | SILVER SPRING
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State | MD
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Zip | 20901-2518
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Country | US
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Telephone | 563-343-4842
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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 | 30381
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License Number State | MD
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