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NPI Code Detail

MEDICARE: KATHLEEN RUBRIGHT LCSW

MEDICARE: KATHLEEN RUBRIGHT 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
1104100000XSocial WorkerSWK127555PA
21041C0700XClinical Social WorkerCW021634PA

General Provider Information

NPI Number : 1972910925
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN RUBRIGHT LCSW
Provider Business Mailing Address
First Line : 2455 JEFFERSON AVE
Second Line :
City : READING
State : PA
Zip : 19609-2363
Country : US
Telephone Number : 570-426-5204
Fax Number :
Provider Business Practice Location Address
First Line : 20 MAIN ST
Second Line :
City : DENVER
State : PA
Zip : 17517-1610
Country : US
Telephone Number : 570-426-5204
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2014
Last Update Date : 02/05/2023

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Directions to “ KATHLEEN RUBRIGHT LCSW” Practice Location

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