Organization
KDC CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KOURTNEY DENISE CARTER LCSW (OWNER)
(404) 769-8016
Entity
Organization
Contact information
Practice address
2598 JACANAR LN SW, ATLANTA, GA 30331-8017
(404) 769-8016
Mailing address
2598 JACANAR LN SW, ATLANTA, GA 30331-8017
(404) 769-8016
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LICENSE
LCSW5562
GA
Enumeration date
01/28/2021
Last updated
01/28/2021
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