| Doctor Name: | KATIE MINARD |
| NPI Number: | 1134537038 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSWA |
| License Number: | P00885 |
| Business Practice Address: | 112 E Elwood Ave Raeford, NC - 283762921 |
| Business Phone Number: | 9107030960 |
| Business Fax Number: | |
| Mailing Address: | 767 Posey Farm Rd, RAEFORD |
| State: | NC |
| Postal Code: | 283765511 |
| Phone Number: | 9107030960 |
| Fax Number: | |
| NPI Enumeration Date: | 07/24/2014 |
| NPI Last Update Date: | 07/24/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | P00885 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |