Individual
KATHERINE AULTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4939 DEXTER AVE, FORT WORTH, TX 76107-3741
(817) 965-5647
Mailing address
4939 DEXTER AVE, FORT WORTH, TX 76107-3741
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
60224
TX
Other
Enumeration date
08/10/2019
Last updated
08/10/2019
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