Individual
GRACE KEELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4 CROSS POINTE WAY, HIRAM, GA 30141-5481
(678) 499-3017
(770) 445-7262
Mailing address
4 CROSS POINTE WAY, HIRAM, GA 30141-5481
(678) 499-3017
(770) 445-7262
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC006507
GA
Other
Enumeration date
02/11/2013
Last updated
02/11/2013
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