Individual
KAYLEIGH WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
200 LEAKE ST, CARTERSVILLE, GA 30120-3561
(706) 290-3329
Mailing address
283 VALLEY VIEW CIR, DALLAS, GA 30132-9806
(706) 290-3329
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
009550
GA
1041C0700X
Clinical Social Worker
Primary
CSW008309
GA
Other
Enumeration date
01/19/2022
Last updated
11/04/2022
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