Individual
NAKEYA JOHNSON GORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8305B OFFICE PARK DR, DOUGLASVILLE, GA 30134-6935
(770) 674-8044
Mailing address
8305B OFFICE PARK DR, DOUGLASVILLE, GA 30134-6935
(770) 674-8004
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW005385
GA
1041C0700X
Clinical Social Worker
MSW005580
GA
Other
Enumeration date
04/04/2015
Last updated
04/20/2020
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