Provider Information for 1134645070
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KATHERINE ROSE TREADWAY LCSWA
Sex: Female
NPI: 1134645070
Last Updated: 2017-11-07
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1134645070 | ||||||||
| Enumeration Date | 2017-08-22 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 113 MARLETON WAY HOLLY SPRINGS, NC 27540-8731 United States Phone: 910-551-5762 | Fax: | ||||||||
| Primary Practice Address | 249 EAST HWY 54 SUITE 320 DURHAM, NC 27713 United States Phone: 919-753-1080 | Fax: | ||||||||
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