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NPI Code Detail

MEDICARE: MS. KATHY V CARFRAE LCSW

MEDICARE: MS. KATHY V CARFRAE LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker09923046CO
2251B00000XCase Management Agency

General Provider Information

NPI Number : 1386919470
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KATHY V CARFRAE LCSW
Provider Business Mailing Address
First Line : 2323 CURTIS ST
Second Line :
City : DENVER
State : CO
Zip : 80205-2627
Country : US
Telephone Number : 303-297-1576
Fax Number :
Provider Business Practice Location Address
First Line : 2323 CURTIS ST
Second Line :
City : DENVER
State : CO
Zip : 80205-2627
Country : US
Telephone Number : 303-297-1576
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2012
Last Update Date : 07/21/2022

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