Individual
MS. KIMBERLY MICHELLE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2294 SMITH AVE SW, MARIETTA, GA 30064-4238
(770) 597-7892
Mailing address
2294 SMITH AVE SW, MARIETTA, GA 30064-4238
(770) 597-7892
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW001903
GA
Other
Enumeration date
04/29/2008
Last updated
04/24/2019
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