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KATHERINE RAE BEST FORMEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
160 TERRANE RDG, PEACHTREE CITY, GA 30269-6604
(678) 464-4898
Mailing address
160 TERRANE RDG, PEACHTREE CITY, GA 30269-6604
(678) 464-4898

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW004691
GA
1041C0700X
Clinical Social Worker
LSW0000005616
TN

Other

Enumeration date
08/25/2011
Last updated
10/09/2012
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