Individual
KATHY T GERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
411 N 3RD ST, STE A3, ELMA, WA 98541-9536
(360) 999-8850
(360) 482-3527
Mailing address
124 NEWMAN CREEK RD, ELMA, WA 98541-9536
(360) 999-8850
(360) 482-3527
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
WA
1041C0700X
Clinical Social Worker
LW60645358
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LW60645358
LICENSED INDEPENDENT CLINICAL SOCIAL WORKER
WA
Enumeration date
03/19/2007
Last updated
01/04/2023
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