Individual
KELLIE MARGARET MOFFATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
604 WASHINGTON ST NW STE A6, GAINESVILLE, GA 30501-8546
(770) 531-3063
Mailing address
3404 EVERLY WAY, GAINESVILLE, GA 30501-3783
(470) 350-9708
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW012421
GA
Other
Enumeration date
04/21/2025
Last updated
04/21/2025
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