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NPI Code Detail

MEDICARE: KATIE MASKOWITZ LICSW PLLC

MEDICARE: KATIE MASKOWITZ LICSW PLLC
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 Worker1797NH

General Provider Information

NPI Number : 1467843938
Entity Type Code : Organization
Provider Name (Legal Business Name) : KATIE MASKOWITZ LICSW PLLC
Provider Business Mailing Address
First Line : 66 PROSPECT ST
Second Line :
City : MANCHESTER
State : NH
Zip : 03104-3506
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 66 PROSPECT ST
Second Line :
City : MANCHESTER
State : NH
Zip : 03104-3506
Country : US
Telephone Number : 603-722-2776
Fax Number :
Authorized Official
Title or Position : LICSW
Name : KATIE MASKOWITZ
Credential :
Telephone Number : 603-722-2776
Provider Enumeration Date : 02/05/2015
Last Update Date : 02/05/2015

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Directions to “KATIE MASKOWITZ LICSW PLLC ” Practice Location

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