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Individual
KATHERINE A DENNIS
Active
Individual
KATHERINE A DENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R058027
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026990501
UNIVERA HEALTHCARE
NY
01
—
000525256004
HEALTH INTEGRATED
NY
01
—
11514869
CAQH
NY
01
—
6290265
INDEPENDENT HEALTH
NY
Enumeration date
06/21/2005
Last updated
01/07/2011
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