Individual
KISHA GRIFFIN FARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
153 INDEPENDENCE DR, CARROLLTON, GA 30116-9000
(770) 836-6678
(770) 830-2266
Mailing address
122 GORDON COMMERCIAL DR STE C, LAGRANGE, GA 30240-5754
(706) 845-4045
(706) 845-4367
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/14/2018
Last updated
09/14/2018
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