Individual
KIMBERLY M LOCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 RIVEREDGE PKWY, ATLANTA, GA 30328-4693
(470) 637-2806
Mailing address
3048 SANTA MONICA DR, DECATUR, GA 30032-3631
(404) 840-8093
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW009004
GA
Other
Enumeration date
06/14/2024
Last updated
06/14/2024
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