Individual
MRS. KATE A LEVERETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4720 CUSTER DR, VALDOSTA, GA 31605-7566
(229) 630-2652
(229) 375-0556
Mailing address
4720 CUSTER DR, VALDOSTA, GA 31605-7566
(229) 630-2652
(229) 375-0556
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW004958
GA
Other
Enumeration date
05/08/2013
Last updated
05/08/2013
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