Individual
KARNISHA HARVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6600 VAN AALST BLVD, FORT MOORE, GA 31905-2102
(067) 545-4995
Mailing address
6600 VAN AALST BLVD, FORT MOORE, GA 31905-2102
(706) 545-4995
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW005551
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CSW005551
LCSW
GA
Enumeration date
09/21/2015
Last updated
11/29/2023
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