Individual
MARIDETH KATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7300 E INDIANA ST STE 103, EVANSVILLE, IN 47715-2794
(812) 401-8008
(812) 401-8201
Mailing address
PO BOX 3276, EVANSVILLE, IN 47731-3276
(812) 473-0181
(812) 473-5822
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34004955A
IN
Other
Enumeration date
05/23/2007
Last updated
10/05/2015
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