Individual
KATELYN SOSKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2394
Mailing address
PO BOX 365, KIMBERLING CITY, MO 65686-0365
(319) 491-7014
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2023032487
MO
Other
Enumeration date
08/31/2023
Last updated
08/31/2023
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