Individual
KATHERINE GARDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
127 MOUNT VERNON DR, DECATUR, GA 30030-1606
(770) 674-8459
Mailing address
127 MOUNT VERNON DR, DECATUR, GA 30030-1606
(770) 674-8459
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW004632
GA
Other
Enumeration date
01/15/2015
Last updated
01/15/2015
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