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Individual
MRS. KATHARINE FERTIG
Active
Individual
MRS. KATHARINE FERTIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-S
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.162392
OH
104100000X
Social Worker
I.2002388-SUPV
OH
104100000X
Social Worker
Primary
S1510184
OH
1041C0700X
Clinical Social Worker
Primary
I.2002388-SUPV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0291142
—
OH
05
—
S.1510184
—
OH
Enumeration date
02/02/2016
Last updated
09/03/2026
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