Individual
KIMBERLY AVERETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6200 BELLECLIFF RUN, TUCKER, GA 30084-8628
(954) 531-4790
Mailing address
6200 BELLECLIFF RUN, TUCKER, GA 30084-8628
(954) 531-4790
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW006057
GA
Other
Enumeration date
04/16/2017
Last updated
04/16/2017
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