Individual
KESHIA KIRTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
729 S JEFF DAVIS DR, FAYETTEVILLE, GA 30215-2416
(943) 237-2892
Mailing address
805 GLYNN ST S STE 127, PMB #196, FAYETTEVILLE, GA 30214-2077
(943) 237-2892
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW012847
GA
Other
Enumeration date
05/02/2016
Last updated
01/18/2026
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