Individual
KAYLA FARABAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2920 MARIETTA HWY, CANTON, GA 30114-8212
(770) 345-7149
(770) 345-1277
Mailing address
PO BOX 1545, CANTON, GA 30169-1545
(770) 345-7149
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW007846
GA
Other
Enumeration date
12/20/2021
Last updated
12/20/2021
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