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1962890384
KELLY MARIE WHITMIRE
DALLAS, GA
NPI
1962890384
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: GA CSW003964)
Enumeration Date
2015-01-07
Last Update Date
2021-02-02
Business Address
KELLY MARIE WHITMIRE LCSW
310 LM WIGLEY RD
DALLAS, GA 30132-1707
Phone number: 167-828-3937
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Mailing Address
KELLY MARIE WHITMIRE LCSW
310 LM WIGLEY RD
DALLAS, GA 30132-1707
Phone number: 678-283-9379
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