Individual
KATHY BROWN-BRAGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
3400 CHAPEL HILL RD, DOUGLASVILLE, GA 30135-1739
(404) 973-8920
Mailing address
3400 CHAPEL HILL RD, DOUGLASVILLE, GA 30135-1739
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
MSW005517
GA
1041C0700X
Clinical Social Worker
Primary
CSW005504
GA
1041C0700X
Clinical Social Worker
MSW005517
GA
1041S0200X
School Social Worker
MSW005517
GA
Other
Enumeration date
11/18/2013
Last updated
02/12/2021
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