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Individual

KIM AUSTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
3975 ROSWELL RD NE STE 104, ATLANTA, GA 30342-4119
(770) 807-2022
Mailing address
70 GRUBER LN STE 170, ST SIMONS ISLAND, GA 31522-2881
(770) 807-2022

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC010508
GA

Other

Enumeration date
04/26/2019
Last updated
04/26/2019
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