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NPI Code Detail

MEDICARE: KATHLEEN REID LMSW

MEDICARE: KATHLEEN REID LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker

General Provider Information

NPI Number : 1659148625
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN REID LMSW
Provider Business Mailing Address
First Line : 6425 POWERS FERRY RD STE 300
Second Line :
City : ATLANTA
State : GA
Zip : 30339-2908
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6425 POWERS FERRY RD STE 300
Second Line :
City : ATLANTA
State : GA
Zip : 30339-2908
Country : US
Telephone Number : 678-997-4324
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2023
Last Update Date : 12/08/2023

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Directions to “ KATHLEEN REID LMSW” Practice Location

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