Individual
MS. KAY L GRESHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW MAC SAP SAE
Contact information
Practice address
4210 COLUMBIA RD STE 4A, MARTINEZ, GA 30907-0403
(706) 993-5186
Mailing address
PO BOX 5664, AUGUSTA, GA 30916-5664
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
002457
GA
1041C0700X
Clinical Social Worker
10117
SC
Other
Enumeration date
01/12/2009
Last updated
05/10/2016
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