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Individual
KRISTIN NAKAJIMA
Active
Individual
KRISTIN NAKAJIMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MSW004482
GA
1041C0700X
Clinical Social Worker
Primary
C009814
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000606317B
—
GA
Enumeration date
06/21/2010
Last updated
04/30/2020
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