Individual
KIMBERLY BROYLES TEPKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4485 TENCH RD, SUITE 840, SUWANEE, GA 30024-6739
(770) 490-6545
Mailing address
381 CREEK MANOR WAY, SUWANEE, GA 30024-6565
(770) 490-6545
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
03810
GA
Other
Enumeration date
09/27/2013
Last updated
08/05/2014
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