Individual
KELLY CAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2655 DALLAS HWY SW STE 240, MARIETTA, GA 30064-2597
(770) 769-2796
Mailing address
2655 DALLAS HWY SW STE 240, MARIETTA, GA 30064-2597
(770) 769-2796
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
004170
GA
Other
Enumeration date
06/28/2016
Last updated
06/28/2016
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