Individual
KATHERINE T. KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
KATHERINE KELLY
Contact information
Practice address
1814 CLAIRMONT RD, DECATUR, GA 30033-3405
(404) 636-1457
(404) 636-7449
Mailing address
1814 CLAIRMONT RD, DECATUR, GA 30033-3405
(404) 636-1457
(404) 636-7449
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0002733
GA
Other
Enumeration date
05/08/2009
Last updated
05/08/2009
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