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Individual

KEVIN CONDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CSW

Contact information

Practice address
55 CARLTON ST, ATHENS, GA 30602-1503
(706) 542-8621
(706) 583-0217
Mailing address
55 CARLTON ST, ATHENS, GA 30602-1503
(706) 542-8621
(706) 583-0217

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW003561
GA

Other

Enumeration date
05/12/2010
Last updated
05/12/2010
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