Individual
KIMBERLY M MELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18 PERRY ST, NEWNAN, GA 30263-1919
(678) 621-1430
Mailing address
18 PERRY ST, NEWNAN, GA 30263-1919
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC011194
GA
Other
Enumeration date
11/27/2019
Last updated
11/27/2019
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