Individual
KATHRYN A LICHTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1500 IRVING ST, ALEXANDRIA, MN 56308-2515
(320) 762-2400
(320) 762-8047
Mailing address
1500 IRVING ST, ALEXANDRIA, MN 56308-2515
(320) 762-2400
(320) 762-8047
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10139
MN
Other
Enumeration date
11/08/2011
Last updated
11/08/2011
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