Individual
KEMOY LEBRANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4400 COLUMBIA RD STE 100, MARTINEZ, GA 30907-4551
(706) 310-5153
Mailing address
580 BLUE RIDGE XING, EVANS, GA 30809-3612
(707) 742-0502
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW009842
GA
Other
Enumeration date
09/20/2022
Last updated
09/20/2022
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