Individual
MRS. KATRINA LECHOWSKA BASTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
113 BILLY PYLE RD SW, ROME, GA 30165-3520
(850) 264-0100
Mailing address
113 BILLY PYLE RD SW, ROME, GA 30165-3520
(850) 264-0100
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW012188
GA
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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