Individual
KRISTI SPENCE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2940 JOHNSON FERRY RD STE B-127, MARIETTA, GA 30062-8361
(678) 637-7166
Mailing address
2940 JOHNSON FERRY RD STE B-127, MARIETTA, GA 30062-8361
(678) 637-7166
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW003884
GA
Other
Enumeration date
07/08/2012
Last updated
07/18/2024
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