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Individual
KATHLEEN MARY SHEEHAN
Active
Individual
KATHLEEN MARY SHEEHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
27523
TX
104100000X
Social Worker
27523
TX
1041C0700X
Clinical Social Worker
Primary
27523
TX
171M00000X
Case Manager/Care Coordinator
27523
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
040582103
—
TX
01
—
TXB115692
MEDICARE PTAN
TX
Enumeration date
02/10/2009
Last updated
01/15/2013
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