Individual
KIMBERLY CHINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4171 MARIETTA ST STE 100B, POWDER SPRINGS, GA 30127-4800
(678) 310-3012
Mailing address
4695 N CHURCH LN SE APT 9203, ATLANTA, GA 30339-1585
(404) 840-1382
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW005217
GA
Other
Enumeration date
03/20/2018
Last updated
03/20/2018
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