Individual
KEVIN THRAILKILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
244 FOREST GLEN CIR, AVONDALE ESTATES, GA 30002-1204
(720) 746-8763
Mailing address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 417-1540
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW005231
GA
Other
Enumeration date
09/25/2014
Last updated
09/25/2014
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