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NPI Code Detail

MEDICARE: MRS. KATHLEEN KANE DROUIN LCSW

MEDICARE: MRS. KATHLEEN KANE DROUIN 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 WorkerIL

General Provider Information

NPI Number : 1932205168
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KATHLEEN KANE DROUIN LCSW
Provider Business Mailing Address
First Line : 222 E WILLOW AVE
Second Line :
City : WHEATON
State : IL
Zip : 60187-5426
Country : US
Telephone Number : 630-784-4876
Fax Number :
Provider Business Practice Location Address
First Line : 222 E WILLOW AVE
Second Line :
City : WHEATON
State : IL
Zip : 60187-5426
Country : US
Telephone Number : 630-784-4876
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2006
Last Update Date : 03/13/2008

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