Individual
MRS. KATRINA LEVERETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LBSW
Contact information
Practice address
4402 FAWN DR, KILLEEN, TX 76542-4411
(354) 526-6444
Mailing address
4402 FAWN DR, KILLEEN, TX 76542-4411
(254) 526-6444
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
50970
TX
Other
Enumeration date
11/14/2010
Last updated
11/14/2010
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