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NPI Code Detail

MEDICARE: MS. KATHLEEN FRANCIS FOX-BENNETT LCSW

MEDICARE: MS. KATHLEEN FRANCIS FOX-BENNETT 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 WorkerR050061-1NY

General Provider Information

NPI Number : 1679647085
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KATHLEEN FRANCIS FOX-BENNETT LCSW
Provider Business Mailing Address
First Line : 3 GROVE ST
Second Line :
City : MOUNT KISCO
State : NY
Zip : 10549-2905
Country : US
Telephone Number : 914-666-0543
Fax Number :
Provider Business Practice Location Address
First Line : 91 SMITH AVE
Second Line :
City : MOUNT KISCO
State : NY
Zip : 10549-2810
Country : US
Telephone Number : 914-666-0543
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2006
Last Update Date : 07/08/2007

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