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Individual

KIMBERLY CHANCE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
601 KORY DR, NEWNAN, GA 30263-7088
(678) 827-5669
Mailing address
601 KORY DR, NEWNAN, GA 30263-7088

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT001434
GA

Other

Enumeration date
05/24/2016
Last updated
05/24/2016
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