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Individual
KATHLEEN WAKEFIELD
Active
Individual
KATHLEEN WAKEFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW-ACP
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
22205
TX
1041C0700X
Clinical Social Worker
Primary
22205
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
169604901
—
TX
Enumeration date
03/17/2006
Last updated
01/04/2024
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