Individual
KATIE KENREICH BIRMINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
209B SWANTON WAY STE 204, DECATUR, GA 30030-3271
(404) 236-9197
Mailing address
209B SWANTON WAY STE 204, DECATUR, GA 30030-3271
(404) 236-9197
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
006900
GA
Other
Enumeration date
10/10/2019
Last updated
02/16/2024
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