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Individual
KATE ENGSTROM
Active
Individual
KATE ENGSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
078375-1
NY
1041C0700X
Clinical Social Worker
149.015402
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
077260-1
LMSW
NY
01
—
078375-1
NEW YORK STATE LCSW
NY
01
—
149.015402
ILLINOIS STATE LCSW
IL
01
—
A400063156
PTAN
NY
Enumeration date
12/17/2008
Last updated
02/18/2016
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