Individual
KIMBERLY DECELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1551 JENNINGS MILL RD UNIT 3000B, WATKINSVILLE, GA 30677-7280
(706) 247-8129
(706) 608-9056
Mailing address
1551 JENNINGS MILL RD UNIT 3000B, WATKINSVILLE, GA 30677-7280
(706) 247-8129
(706) 608-9056
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW004696
GA
Other
Enumeration date
09/07/2010
Last updated
07/14/2022
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