Mary Kathleen West Lcsw, INC

NPI #1447586268 in Jasper, Georgia

Provider Information

NPI Number: 1447586268
Entity Type: Organization
Organization Name: Mary Kathleen West Lcsw, INC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Oct 29, 2009
Last Updated: Oct 9, 2020

Practice Location

Address: 201 COVE RD
City: Jasper
State: Georgia
ZIP Code: 30143
Phone: (706) 253-9515

Authorized Official

Name: MARY KATHLEEN WEST, LCSW
Title: OWNER
Phone: (706) 253-9515

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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