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Individual
KATHLEEN ENDARA
Active
Individual
KATHLEEN ENDARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
86176
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
67325
CALIFORNIA BOARD OF BEHAVIORAL SCIENCES
CA
Enumeration date
08/12/2014
Last updated
09/30/2023
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