Individual
BRENDA RUTH KEMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
585 VAUGHAN DR, HAMPTON, GA 30228-5323
(404) 396-1745
Mailing address
585 VAUGHAN DR, HAMPTON, GA 30228-5323
(404) 396-1745
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
005319
GA
Other
Enumeration date
02/27/2018
Last updated
02/27/2018
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