Organization
MILLIE S. KELLEHER, LCSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH MASON (BUSINESS MANAGER)
(706) 548-8697
Entity
Organization
Contact information
Practice address
1090 FOUNDERS BLVD, SUITE B, ATHENS, GA 30606-6163
(706) 548-8697
(706) 548-8698
Mailing address
1090 FOUNDERS BLVD, SUITE B, ATHENS, GA 30606-6163
(706) 548-8697
(706) 548-8698
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW002536
GA
Other
Enumeration date
10/22/2013
Last updated
10/22/2013
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