Individual
MRS. KAYLENE GOLDGRABE HARTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
701 HOSPITAL LOOP, FAIRCHILD AFB, WA 99011-8704
(509) 247-2731
Mailing address
701 HOSPITAL LOOP, FAIRCHILD AFB, WA 99011-8704
(509) 247-2731
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-38589
ID
Other
Enumeration date
11/24/2020
Last updated
01/23/2025
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