Individual
KIMBERLY MI-SUK BRAUDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
STATESBORO PSYCHIATRIC ASSOCIATES, 116 HILL POND LANE, STATESBORO, GA 30458
(912) 489-1629
(912) 489-1630
Mailing address
STATESBORO PSYCHIATRIC ASSOCIATES, 116 HILL POND LANE, STATESBORO, GA 30458
(912) 489-1629
(912) 489-1630
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
004820
GA
101YP2500X
Professional Counselor
Primary
LPC004820
GA
Other
Enumeration date
08/07/2013
Last updated
12/12/2019
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