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NPI Code Detail

MEDICARE: KATHY J GUTHRIE

MEDICARE: KATHY J GUTHRIE
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 : 1760675938
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHY J GUTHRIE
Provider Business Mailing Address
First Line : 855 HOWE AVE
Second Line : SUITE #1
City : SACRAMENTO
State : CA
Zip : 95825-3912
Country : US
Telephone Number : 916-929-0808
Fax Number : 916-649-8657
Provider Business Practice Location Address
First Line : 855 HOWE AVE
Second Line : SUITE #1
City : SACRAMENTO
State : CA
Zip : 95825-3912
Country : US
Telephone Number : 916-929-0808
Fax Number : 916-649-8657
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2007
Last Update Date : 08/21/2007

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