Individual
MRS. KERI JEAN MIMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
650 HENDERSON DR STE 202, CARTERSVILLE, GA 30120-3723
(770) 334-2493
Mailing address
1524 DAVIS FARM DR NW, KENNESAW, GA 30152-7844
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
03/26/2018
Last updated
03/26/2018
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