Individual
KIARA STREET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
250 GEORGIA AVE SE, ATLANTA, GA 30312-3046
(470) 377-5990
Mailing address
1164 MISTY MEADOWS WAY, HAMPTON, GA 30228-6154
(404) 425-0195
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW011882
GA
Other
Enumeration date
05/30/2024
Last updated
05/30/2024
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