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Provider Information for 1841521580


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KATHERINE ANNE MORRISSEY STAHL PhD, LCSW, CST


Sex: Female

NPI: 1841521580
Last Updated: 2019-11-20
Certification Date:

Details

NameValue
NPI1841521580
Enumeration Date2010-01-20
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 675 PULASKI ST STE 1400
ATHENS, GA 30601-2384
United States

Phone: 706-224-7497 | Fax:
 
Primary Practice Address 675 PULASKI ST STE 1400
ATHENS, GA 30601-2384
United States

Phone: 706-224-7497 | Fax:
 
Secondary Practice Address(es)

675 PULASKI ST STE 1400
ATHENS, GA 30601-2384
United States

Phone: 706-224-7497 | Fax:
 

Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalGACSW004693