Individual
KENNETH ANDREW MEDVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2601 CROSS COUNTRY DR STE 900, COLUMBUS, GA 31906-1801
(706) 596-7170
Mailing address
2601 CROSS COUNTRY DR STE 900, COLUMBUS, GA 31906-1801
(706) 596-7170
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW007329
GA
Other
Enumeration date
06/30/2022
Last updated
06/30/2022
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