Provider Information for 1457853954
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KATE LYNNE CONOCHAN MSW, LISW
Sex: Female
NPI: 1457853954
Last Updated: 2020-02-26
Certification Date: 2020-02-26
Certification Date: 2020-02-26
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1457853954 | ||||||||||||
| Enumeration Date | 2018-03-01 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 1744 PAYNE AVE CLEVELAND, OH 44114-2910 United States Phone: 216-623-6555 | Fax:216-623-6539 | ||||||||||||
| Primary Practice Address | 1744 PAYNE AVE CLEVELAND, OH 44114-2910 United States Phone: 216-623-6555 | Fax:216-623-6539 | ||||||||||||
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