Individual
SHARON D KELLAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
407 N WASHINGTON ST, DUBLIN, GA 31021-6741
(478) 290-4072
Mailing address
407 N WASHINGTON ST, DUBLIN, GA 31021-6741
(478) 290-4072
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MSW010092
GA
Other
Enumeration date
12/21/2022
Last updated
12/21/2022
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