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Organization

KINGDOM EXPRESSIONS ATL LLC

Active
Other names
Kingdom Expressions ATL LLC
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SHAKERA MCKENZIE (CEO)
(337) 508-9023
Entity
Organization

Contact information

Practice address
101 W CAMPBELLTON ST, FAIRBURN, GA 30213-1218
(888) 859-4202
Mailing address
101 W CAMPBELLTON ST, FAIRBURN, GA 30213-1218
(337) 508-9023

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
09/17/2020
Last updated
09/17/2020
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