| NPI | 1154150019 |
|---|---|
| Other Name | KIM WASLEY, LCSW, LLC |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY WASLEY Owner 706-974-9065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2024-07-30 |
| Last Update Date | 2024-07-30 |