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Individual

MS. KISHA HASSANNA WHITFIELD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M. ED.

Contact information

Practice address
619 MAIN ST, PALMETTO, GA 30268-1142
(770) 463-0202
(678) 818-4619
Mailing address
4916 LOCHERBY DR, FAIRBURN, GA 30213-4383
(404) 553-6871
(678) 818-4619

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
08/09/2011
Last updated
07/14/2015
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