Individual
M OUIDA KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2685 METROPOLITAN PKWY SW, ATLANTA, GA 30315-7900
(404) 627-1385
(404) 688-2962
Mailing address
1046 RIDGE AVE SW, ATLANTA, GA 30315-1640
(404) 627-1385
(404) 688-2962
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CSW002014
GA
1041C0700X
Clinical Social Worker
CSW002014
GA
Other
Enumeration date
02/24/2010
Last updated
02/24/2010
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