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Individual
DR. KATHERINE S WILBORN
Active
Individual
DR. KATHERINE S WILBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LCSW, BCD
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW 2128
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
230047000
—
FL
01
—
E0846
MEDICARE PART B
FL
Enumeration date
06/26/2006
Last updated
03/15/2013
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