Individual
KELLI CORTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
707 WHITLOCK AVE SW, SUITE H-11, MARIETTA, GA 30064-3000
(678) 702-9853
Mailing address
3961 FLOYD RD, SUITE 300-262, AUSTELL, GA 30106-8535
(678) 702-9853
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
MSW005803
GA
1041C0700X
Clinical Social Worker
Primary
CSW005423
GA
Other
Enumeration date
02/02/2015
Last updated
01/19/2016
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