Individual
ANGELA YVONNE KELLIEBREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4229 SNAPFINGER WOODS DR, DECATUR, GA 30035-3440
(404) 286-9252
Mailing address
PO BOX 429, AVONDALE ESTATES, GA 30002-0429
(404) 289-0313
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
GA
175T00000X
Peer Specialist
Primary
—
GA
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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