Individual
KATHY M. HALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW AND RPT
Contact information
Practice address
204 W CAMPGROUND RD, MCDONOUGH, GA 30253-8002
(770) 898-2966
Mailing address
204 W CAMPGROUND RD, MCDONOUGH, GA 30253-8002
(770) 898-2966
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CSW002281
GA
Other
Enumeration date
01/22/2011
Last updated
01/22/2011
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