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Individual

KENETTA MUHAMMAD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
801 JOSEPH E BOONE BLVD NW, ATLANTA, GA 30314-3344
(516) 209-1685
Mailing address
2772 PALMVIEW CT SW, ATLANTA, GA 30331-3878

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
08/07/2019
Last updated
08/07/2019
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