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Individual
MRS. KATIE ANN OZOLINS
Active
Individual
MRS. KATIE ANN OZOLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
0975942816162832
NJ
1041C0700X
Clinical Social Worker
Primary
44SC05600400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0023701
AGENCY MEDICAID PROVIDER NUMNER
NJ
01
—
527486
AGENCY MEDICARE PROVIDER NUMBER
NJ
01
—
8363102
AGENCY MEDICAID PROVIDER #
NJ
Enumeration date
10/28/2010
Last updated
02/04/2015
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