Individual
DEBORAH MONTAGUE KINLAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, MAC
Contact information
Practice address
402 CORDER RD STE 200, WARNER ROBINS, GA 31088-7165
(478) 551-4714
(478) 551-4718
Mailing address
1114 HWY 96, SUITE C-1, BOX 309, KATHLEEN, GA 31088
(912) 520-8084
(478) 313-3013
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW004819
GA
1041C0700X
Clinical Social Worker
MSW004964
GA
Other
Enumeration date
08/04/2010
Last updated
05/28/2021
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