Individual
KELLI KACZMAREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
9829 US-19, ZEBULON, GA 30295
(770) 841-3975
Mailing address
236 N OLD ALABAMA RD, THOMASTON, GA 30286-1875
(706) 975-4803
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/11/2020
Last updated
05/11/2020
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