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Individual
KATHRYN DELOOSE
Active
Individual
KATHRYN DELOOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701011342
VA
101YM0800X
Mental Health Counselor
LC8519
MD
1041C0700X
Clinical Social Worker
LC8519
MD
Other
Enumeration date
07/12/2018
Last updated
09/25/2023
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