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Individual

CAITLIN AMANDA KEPTNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
9040 JACKSON AVE, TACOMA, WA 98431-2858
(253) 968-4157
Mailing address
720 POYNTZ AVE, MANHATTAN, KS 66502-6355
(785) 320-7331

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
CW019081
PA
1041C0700X
Clinical Social Worker
Primary
LSCSW05711
KS
1041C0700X
Clinical Social Worker
LW60687765
WA

Other

Enumeration date
01/26/2013
Last updated
03/17/2022
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