Individual
MR. KATHERINE LAONI PONSOLDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30045-8444
(770) 339-5377
(770) 339-5016
Mailing address
240 BLUE HERON DR, ATHENS, GA 30605-4968
(706) 296-6885
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW004167
GA
Other
Enumeration date
05/06/2008
Last updated
05/06/2008
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