Individual
KESHIA NICOLE BOZEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
Mailing address
125 TED TURNER DR SW, ATLANTA, GA 30303-3641
(470) 693-1435
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW008243
GA
Other
Enumeration date
10/04/2022
Last updated
10/04/2022
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