Provider Demographics
NPI:1386670305
Name:HORNE, KATHRYN WELDON (LISW-CP)
Entity Type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:WELDON
Last Name:HORNE
Suffix:
Gender:F
Credentials:LISW-CP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 22214
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29413-2214
Mailing Address - Country:US
Mailing Address - Phone:843-722-1404
Mailing Address - Fax:843-722-1405
Practice Address - Street 1:263 KING ST STE B
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29401-1420
Practice Address - Country:US
Practice Address - Phone:843-722-1404
Practice Address - Fax:843-722-1405
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2008-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC67421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical