Provider Demographics
NPI:1235247776
Name:GEORGESON, KATHY M (MSW ACSA)
Entity Type:Individual
Prefix:MRS
First Name:KATHY
Middle Name:M
Last Name:GEORGESON
Suffix:
Gender:F
Credentials:MSW ACSA
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Mailing Address - Street 1:51 SOUTH ST #10
Mailing Address - Street 2:KATHY GEORGESON
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960
Mailing Address - Country:US
Mailing Address - Phone:201-317-6925
Mailing Address - Fax:908-647-3355
Practice Address - Street 1:51 SOUTH ST #10
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960
Practice Address - Country:US
Practice Address - Phone:201-317-6925
Practice Address - Fax:908-647-3355
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ44SC005942001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical