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Individual

KELLEY WEST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
911 DULUTH HIGHWAY, # C-1B-315, LAWRENCEVILLE, GA 30043
(404) 496-8621
Mailing address
911 DULUTH HIGHWAY, # C-1B-315, LAWRENCEVILLE, GA 30043
(404) 496-8621

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
MSW010330
GA
1041C0700X
Clinical Social Worker
Primary
CSW009685
GA

Other

Enumeration date
11/03/2021
Last updated
04/09/2026
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