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1790140127
KIMBERLY UNDERWOOD
MCDONOUGH, GA
NPI
1790140127
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-12-30
Last Update Date
2015-12-30
Business Address
-- KIMBERLY UNDERWOOD
105 MAGNOLIA GARDENS WALK
MCDONOUGH, GA 30253-6076
Phone number: 335-935-5633
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Mailing Address
-- KIMBERLY UNDERWOOD
105 MAGNOLIA GARDENS WALK
MCDONOUGH, GA 30253-6076
Phone number: 335-935-5633
Copy
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