Individual
CHARLENE BYSSAINTHE KIDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2905 E POINT ST UNIT 90106, ATLANTA, GA 30364-8604
(404) 913-4455
Mailing address
2900 CHAMBLEE TUCKER RD BLDG 8, ATLANTA, GA 30341-4100
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW009473
GA
Other
Enumeration date
01/22/2021
Last updated
09/29/2023
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