Individual
KELLIE M. EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
6000 LAKE FORREST DR NW, SUITE 103, ATLANTA, GA 30328-3824
(404) 256-9325
(404) 256-3662
Mailing address
6000 LAKE FORREST DR NW, SUITE 103, ATLANTA, GA 30328-3824
(404) 256-9325
(404) 256-3662
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3224
GA
Other
Enumeration date
12/09/2008
Last updated
12/09/2008
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