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Individual

KRISTY LARKIN BREWER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW, PHD

Contact information

Practice address
3870 PEACHTREE INDUSTRIAL BLVD # 340-312, DULUTH, GA 30096-1422
(678) 744-5369
Mailing address
3870 PEACHTREE INDUSTRIAL BLVD # 340-312, DULUTH, GA 30096-1422
(678) 744-5369
(770) 446-5643

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW005634
GA

Other

Enumeration date
12/09/2015
Last updated
05/12/2022
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