Individual
MS. KELLY GRANT STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
4200 NORTHSIDE PKWY NW BLDG 6, ATLANTA, GA 30327-3007
(678) 757-4058
Mailing address
4200 NORTHSIDE PKWY NW BLDG 6, ATLANTA, GA 30327-3007
(678) 757-4058
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
NA
—
Other
Enumeration date
01/23/2020
Last updated
01/23/2020
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