Organization
MK PSYCHOTHERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARILYN A KIRKLAND LCSW (PRESIDENT)
(404) 643-2457
Entity
Organization
Contact information
Practice address
1585 OLD NORCROSS RD STE 201D, LAWRENCEVILLE, GA 30046-4043
(404) 643-2457
(678) 203-2409
Mailing address
1873 POPLAR RDG, LAWRENCEVILLE, GA 30044-2842
(404) 643-2457
(678) 203-2409
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW001677
GA
Other
Enumeration date
05/02/2007
Last updated
09/30/2022
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