Individual
KATHLEEN CLEARY FORREST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1820 THE EXCHANGE SE STE 750, ATLANTA, GA 30339-2088
(828) 668-2180
Mailing address
1165 MCDANIEL ST SW, ATLANTA, GA 30310-3655
(847) 271-8155
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CSW009092
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CSW009092
PROFESSIONAL LICENSE
GA
Enumeration date
05/05/2020
Last updated
05/02/2024
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