Individual
NICOLE KEATING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1822 N ROCK SPRINGS RD NE, APT 1, ATLANTA, GA 30324-5803
(407) 927-6825
Mailing address
1822 N ROCK SPRINGS RD NE, APT 1, ATLANTA, GA 30324-5803
(407) 927-6825
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW004805
GA
Other
Enumeration date
05/11/2016
Last updated
05/11/2016
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