Individual
DENITA CALDWELL KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
540 VENTURA LN, COLLEGE PARK, GA 30349-2726
(678) 749-2089
Mailing address
540 VENTURA LN, COLLEGE PARK, GA 30349-2726
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/12/2021
Last updated
11/12/2021
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