Organization
KEYS TO WOMEN'S WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FANIKE KIARA OLUGBALA LCSW (OWNER)
(770) 502-5593
Entity
Organization
Contact information
Practice address
2283 NOTTLEY WALK, MARIETTA, GA 30066-8610
(770) 502-5593
(866) 310-1591
Mailing address
2283 NOTTLEY WALK, MARIETTA, GA 30066-8610
(770) 502-5593
(866) 310-1591
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW004694
GA
Other
Enumeration date
07/23/2012
Last updated
03/02/2017
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