Individual
ALPHONSO MCKIBBINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
170 ATKINS LN, FAYETTEVILLE, GA 30215-8003
(678) 670-5180
Mailing address
170 ATKINS LN, FAYETTEVILLE, GA 30215-8003
(678) 670-5180
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW009276
GA
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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