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Individual

KIMBERLY ANN HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
49 RIPPLING STREAM TRCE, DALLAS, GA 30132-7588
(470) 891-6038
Mailing address
49 RIPPLING STREAM TRCE, DALLAS, GA 30132-7588
(470) 891-6038

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
117361
CA
1041C0700X
Clinical Social Worker
149017397
IL
1041C0700X
Clinical Social Worker
CSW006252
GA

Other

Enumeration date
07/15/2015
Last updated
03/04/2026
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