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1265974505
KIMBERLY HAWTHORNE
DACULA, GA
NPI
1265974505
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: GA CSW007672)
Enumeration Date
2016-11-16
Last Update Date
2021-09-10
Business Address
KIMBERLY HAWTHORNE LCSW
2523 BLOOM CIR
DACULA, GA 30019-4202
Phone number: 404-789-9948
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Mailing Address
KIMBERLY HAWTHORNE LCSW
2523 BLOOM CIR
DACULA, GA 30019-4202
Phone number: 404-789-9948
Copy
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