Individual
KELLY E. REDWINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
300 BROADWAY AVENUE, BRASELTON, GA 30517
(770) 695-7501
Mailing address
PO BOX 637, BRASELTON, GA 30517
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC010264
GA
Other
Enumeration date
12/27/2016
Last updated
12/06/2021
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