Individual
MRS. KATHLEEN BETTS HENDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1 FREEDOM WAY, AUGUSTA, GA 30904-6258
(706) 733-0188
(706) 731-7112
Mailing address
3535 INTERLACHEN DR, MARTINEZ, GA 30907-9528
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
GAMSW001225
GA
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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