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Individual
MRS. KATHLEEN BRONNER FIKS
Active
Individual
MRS. KATHLEEN BRONNER FIKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
44SC00090300
NJ
1041C0700X
Clinical Social Worker
Primary
R006078
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0082408
GHI
—
01
—
053065
MHS VALUE OPTIONS
—
01
—
7485794V
VALUE BEHAVIRAL
—
01
—
P582628
OXFORD
—
Enumeration date
09/25/2006
Last updated
07/08/2007
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