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Individual

KEVIN F DALY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.A.

Contact information

Practice address
5205 STILESBORO RD NW STE 225, KENNESAW, GA 30152-7748
(678) 278-8345
(800) 634-6360
Mailing address
PO BOX 801096, ACWORTH, GA 30101-1096
(770) 314-0293

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
09103511
GA
101YP1600X
Pastoral Counselor
575
GA

Other

Enumeration date
02/21/2011
Last updated
07/21/2022
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