Individual
DR. KATHLEEN CHRISTINE DART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
14 PECAN CT, WINTERVILLE, GA 30683-2325
(517) 285-9165
Mailing address
14 PECAN CT, WINTERVILLE, GA 30683-2325
(172) 859-1655
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801089802
MI
1041C0700X
Clinical Social Worker
CSW007053
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12118724
CAQH
—
Enumeration date
06/16/2008
Last updated
03/04/2025
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