Provider Information for 1376616425
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Ms. KATHARINE LOUISE KIESEL LCSW
Sex: Female
NPI: 1376616425
Last Updated: 2007-07-08
Certification Date:
Certification Date:
Details
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NPI | 1376616425 | ||||||||
Enumeration Date | 2006-11-16 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | NO | ||||||||
Status | Active | ||||||||
Mailing Address | 2235 35TH ST ASTORIA, NY 11105-2206 United States Phone: 718-267-7540 | Fax: | ||||||||
Primary Practice Address | 1727 AMSTERDAM AVE NEW YORK, NY 10031-4611 United States Phone: 212-694-9200 | Fax:212-368-5608 | ||||||||
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