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Individual

KATHRYN HILARY CURTIS-LONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34008635A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
35-1862303
IN
Enumeration date
10/09/2019
Last updated
06/11/2024
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