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NPI Code Detail

MEDICARE: KAITLIN DIANE HORNER LMSW

MEDICARE:   KAITLIN DIANE HORNER  LMSW
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
1104100000XSocial Worker103262TX

General Provider Information

NPI Number : 1851173264
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAITLIN DIANE HORNER LMSW
Provider Business Mailing Address
First Line : 4005 SPICEWOOD SPRINGS RD STE B401
Second Line :
City : AUSTIN
State : TX
Zip : 78759-8680
Country : US
Telephone Number : 512-402-2108
Fax Number :
Provider Business Practice Location Address
First Line : 4005 SPICEWOOD SPRINGS RD STE B401
Second Line :
City : AUSTIN
State : TX
Zip : 78759-8680
Country : US
Telephone Number : 512-402-2108
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2023
Last Update Date : 11/02/2023

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Directions to “ KAITLIN DIANE HORNER LMSW” Practice Location

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