Individual
KEISHA J HILLIARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4107 CIDER TRL, HAHIRA, GA 31632-3185
(229) 292-6944
Mailing address
4107 CIDER TRL, HAHIRA, GA 31632-3185
(229) 292-6944
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW006910
GA
Other
Enumeration date
09/21/2021
Last updated
09/21/2021
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