Individual
KUTINA L REDDISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 294-5712
Mailing address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 294-5712
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
247200000X
Other Technician
—
—
Other
Enumeration date
09/09/2014
Last updated
02/28/2024
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