Individual
TONYA KLEMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
305 PRISM DR, CARROLLTON, GA 30116-5596
(610) 751-1975
Mailing address
628 CEDAR ST APT B, CARROLLTON, GA 30117-2470
(610) 751-1975
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CSW005808
GA
Other
Enumeration date
07/09/2012
Last updated
05/22/2019
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