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Individual
KAITLIN G FIBKINS
Active
Individual
KAITLIN G FIBKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
11210101
NY
1041C0700X
Clinical Social Worker
Primary
098111
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11210101
NEW YORK STATE
NY
Enumeration date
05/07/2021
Last updated
08/13/2024
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