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1962948034
KIMBERLY MICHELLE WILKES
DOUGLASVILLE, GA
NPI
1962948034
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Former Name
KIMBERLY MICHELLE TURNER HOLLOWAY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-01-13
Last Update Date
2017-01-13
Business Address
-- KIMBERLY MICHELLE WILKES
2109 FAIRBURN RD
DOUGLASVILLE, GA 30135-1037
Phone number: 770-726-7958
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Mailing Address
-- KIMBERLY MICHELLE WILKES
2109 FAIRBURN RD
DOUGLASVILLE, GA 30135-1037
Phone number: 770-726-7958
Copy
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