Individual
KATRENA MARIE DALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
530 HORNADY DR, MONROEVILLE, AL 36460-8658
(251) 575-4837
Mailing address
219 COUNTY ROAD 51 N, PINE APPLE, AL 36768-2609
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5387G
AL
Other
Enumeration date
02/18/2022
Last updated
09/04/2024
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