Individual
KATREVA DUPONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SOCIAL WORKER, LCSW
Contact information
Practice address
500 E OGLETHORPE HWY, HINESVILLE, GA 31313-2804
(843) 577-5011
Mailing address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 577-5011
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
57773
TX
1041C0700X
Clinical Social Worker
Primary
SW14085
FL
Other
Enumeration date
03/16/2015
Last updated
05/04/2017
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