Individual
KEIRA OSEROFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW CEDS
Contact information
Practice address
3855 SHALLOWFORD RD STE N420, MARIETTA, GA 30062-4195
(770) 592-0566
(770) 592-0326
Mailing address
3855 SHALLOWFORD RD STE 420, MARIETTA, GA 30062-4197
(770) 592-0566
(770) 592-0326
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
003423
GA
Other
Enumeration date
03/12/2009
Last updated
01/19/2021
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