Individual
KARISSA NA'SHEA PRATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2159 DILLARD XING, TUCKER, GA 30084-5937
(706) 975-2876
Mailing address
2159 DILLARD XING, TUCKER, GA 30084-5937
(706) 975-2876
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904020174
VA
1041C0700X
Clinical Social Worker
14247374-3501
UT
1041C0700X
Clinical Social Worker
Primary
CSW007299
GA
1041C0700X
Clinical Social Worker
LW70063774
WA
Other
Enumeration date
10/10/2024
Last updated
03/24/2026
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