Individual
KEILA L STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2020 CANTRELL LN, BOGART, GA 30622-1031
(706) 372-4305
Mailing address
2020 CANTRELL LN, BOGART, GA 30622-1031
(706) 372-4305
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC007701
GA
Other
Enumeration date
11/29/2021
Last updated
11/29/2021
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