Doctor Name: | MS. KATHI GANT |
NPI Number: | 1225178239 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LISW |
License Number: | I0005344 |
Business Practice Address: | 17535 Rosbough Blvd Suite 214 Middleburg Heights, OH - 441308361 |
Business Phone Number: | 4408919177 |
Business Fax Number: | 4408910711 |
Mailing Address: | Po Box 302, CHAGRIN FALLS |
State: | OH |
Postal Code: | 440220302 |
Phone Number: | 4402477088 |
Fax Number: | 4408910711 |
NPI Enumeration Date: | 02/07/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | I0005344 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |