Individual
LAURA R KEMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
139 HENRY PKWY, MCDONOUGH, GA 30253-6636
(770) 358-5252
(770) 229-3223
Mailing address
4157 BROOKHAVEN DR SE, COVINGTON, GA 30014-3195
(770) 788-8607
(770) 229-3223
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000601609G
—
GA
01
—
GRP2054
MEDICARE
GA
Enumeration date
11/29/2012
Last updated
11/29/2012
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