Organization
KATHRYN VAUGHN LLC
Active
Other names
Kathryn Vaughn LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN IRENE VAUGHN LCSW (PSYCHOTHERAPIST)
(470) 426-5281
Entity
Organization
Contact information
Practice address
3160 MAIN ST STE 102, DULUTH, GA 30096-3461
(470) 426-5281
Mailing address
3968 MAINSAIL CT, DULUTH, GA 30096-5281
(678) 557-0934
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/14/2019
Last updated
10/18/2019
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