Individual
KIERRA SADE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2860 LANDFILL RD, PELHAM, GA 31779-5960
(229) 328-5688
Mailing address
2860 LANDFILL RD, PELHAM, GA 31779-5960
(229) 328-5688
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
MSW008022
GA
1041C0700X
Clinical Social Worker
Primary
4694C
AL
Other
Enumeration date
07/30/2019
Last updated
04/13/2021
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