Individual
KATHRYN HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
11 2ND ST SW, WADENA, MN 56482-1482
(218) 631-1714
(218) 631-4228
Mailing address
11 2ND ST SW, WADENA, MN 56482-1482
(218) 631-1714
(218) 631-4228
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
205057
MN
Other
Enumeration date
08/25/2016
Last updated
03/10/2020
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