Individual
KATELYN DODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3776 SULLIVAN ST STE D, MADISON, AL 35758-2344
(760) 245-4695
Mailing address
3776 SULLIVAN ST STE D, MADISON, AL 35758-2344
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6196C
AL
1041C0700X
Clinical Social Worker
128271
CA
Other
Enumeration date
12/21/2022
Last updated
09/30/2025
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