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1356575476
KIMBERLY SHAWN UNDERDUE
STOCKBRIDGE, GA
NPI
1356575476
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA CSW004368)
Enumeration Date
2009-05-04
Last Update Date
2010-12-14
Business Address
Ms. KIMBERLY SHAWN UNDERDUE LCSW
165 BURKE ST SUITE 109
STOCKBRIDGE, GA 30281-3463
Phone number: 770-389-9886
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Mailing Address
Ms. KIMBERLY SHAWN UNDERDUE LCSW
1071 LAUREL RIDGE DR
MCDONOUGH, GA 30252-8432
Phone number: 678-851-9509
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