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NPI Code Detail

MEDICARE: KATRINA ORLET LLC

MEDICARE: KATRINA ORLET LLC
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 Worker

General Provider Information

NPI Number : 1619637956
Entity Type Code : Organization
Provider Name (Legal Business Name) : KATRINA ORLET LLC
Provider Business Mailing Address
First Line : 4041 WYOMING ST
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63116-3919
Country : US
Telephone Number : 314-541-1024
Fax Number : 314-932-0927
Provider Business Practice Location Address
First Line : 3200 CHOUTEAU AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63103-2910
Country : US
Telephone Number : 314-541-1024
Fax Number :
Authorized Official
Title or Position : OWNER
Name : KATRINA ORLET
Credential : LCSW
Telephone Number : 314-541-1024
Provider Enumeration Date : 12/28/2021
Last Update Date : 12/28/2021

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Directions to “KATRINA ORLET LLC ” Practice Location

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