Individual
KEDY ERNST JEAN-LOUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1626 JEURGENS CT, NORCROSS, GA 30093-2219
(678) 524-9477
Mailing address
2483 HERITAGE VLG STE 16-225, SNELLVILLE, GA 30078-6140
(678) 524-9477
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW006806
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CSW006806
LCSW
GA
Enumeration date
06/12/2020
Last updated
06/12/2020
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