Individual
CASON KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2249 COLLEEN CT, DECATUR, GA 30032-7154
(770) 912-7153
Mailing address
2249 COLLEEN CT, DECATUR, GA 30032-7154
(770) 912-7153
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/05/2021
Last updated
08/05/2021
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