M OUIDA KEITH

ATLANTA, GA
NPI1285956755
Former NameM OUIDA BREVARD
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: GA  CSW002014)
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: GA  CSW002014)
Enumeration Date2010-02-24
Last Update Date2010-02-24
Business Address
-- M OUIDA KEITH LCSW
2685 METROPOLITAN PKWY SW
ATLANTA, GA 30315-7900
Phone number: 404-627-1385
Mailing Address
-- M OUIDA KEITH LCSW
1046 RIDGE AVE SW
ATLANTA, GA 30315-1640
Phone number: 404-627-1385