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Kenneth Andrew Harrell, LCSW

Social Worker, Clinical in Macon, GA. Individual provider (NPI-1).

NPI number1982809331
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1982809331
Entity type
Individual (NPI-1)
Name
Kenneth Andrew Harrell
Credential
LCSW
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 17, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, ClinicalCSW003458GAYes

Practice location

117 Parkwood Ave
Macon, GA 31210-5018

Phone 478-477-2220

Mailing address

114 Peachtree Blvd
Bonaire, GA 31005-4040

Phone 478-218-4646

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