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NPI Code Detail

MEDICARE: KATHERINE ANNE MORRISSEY STAHL PHD, LCSW, CST

MEDICARE: KATHERINE ANNE MORRISSEY STAHL PHD, LCSW, CST
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerCSW004693GA

General Provider Information

NPI Number : 1841521580
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE ANNE MORRISSEY STAHL PHD, LCSW, CST
Provider Business Mailing Address
First Line : 675 PULASKI ST STE 1400
Second Line :
City : ATHENS
State : GA
Zip : 30601-2384
Country : US
Telephone Number : 706-224-7497
Fax Number :
Provider Business Practice Location Address
First Line : 675 PULASKI ST STE 1400
Second Line :
City : ATHENS
State : GA
Zip : 30601-2384
Country : US
Telephone Number : 706-224-7497
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2010
Last Update Date : 11/20/2019

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Directions to “ KATHERINE ANNE MORRISSEY STAHL PHD, LCSW, CST” Practice Location

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