Individual
KAMILAH DOLORA FONZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3060 KIMBALL BRIDGE RD STE 110, ALPHARETTA, GA 30022-1404
(404) 618-2241
Mailing address
5155 ROSWELL RD UNIT 3, ATLANTA, GA 30342-2237
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW008131
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1912138710
1912138710
GA
Enumeration date
09/14/2022
Last updated
08/07/2025
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