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Contact Information

KATELYN M BAWCOM, STUDENT INTERN
929 KOSTER ST
EUREKA, CA95501-0106
 Phone: 707-269-4179
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counselor

101Y00000X
 

School

1041S0200X
Indicates primary specialty

NPI Profile & details for KATELYN M BAWCOM · (Female)

NPI Number 1083196620
Status Active
Credentials STUDENT INTERN
Entity Individual
Enumeration date 08/30/2018
Last updated 09/20/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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