Individual
MRS. KRISTINA JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
251 GARLAND ROSE LN, DALLAS, GA 30157-5017
(770) 853-5651
Mailing address
55 E PAULDING DR STE 122, DALLAS, GA 30157-7192
(770) 322-4894
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW006406
GA
Other
Enumeration date
03/02/2021
Last updated
03/02/2021
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