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Individual

KEISHA N RAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BC-TMH, LMSW

Contact information

Practice address
212 CANDICE CT, HAMPTON, GA 30228-2808
(770) 314-4268
Mailing address
212 CANDICE CT, HAMPTON, GA 30228-2808
(770) 314-4268

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MSW010148
GA

Other

Enumeration date
04/21/2023
Last updated
04/21/2023
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