Kelly Luce Acevedo | |
111 Petrol Pt Suite H Peachtree City GA 30269-1550 | |
(470) 296-1841 | |
Not Available |
Full Name | Kelly Luce Acevedo |
---|---|
Speciality | Social Worker |
Location | 111 Petrol Pt, Peachtree City, Georgia |
Authorized Official Name and Position | Kelly Luce Acevedo (LICENSED MASTER SOCIAL WORKER) |
Authorized Official Contact | 4702961841 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Kelly Luce Acevedo 117 Holly Springs Dr Peachtree City GA 30269-3045 Ph: (470) 296-1841 | Kelly Luce Acevedo 111 Petrol Pt Suite H Peachtree City GA 30269-1550 Ph: (470) 296-1841 |
NPI Number | 1205266368 |
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Provider Enumeration Date | 11/26/2013 |
Last Update Date | 11/26/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205266368 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
104100000X | Social Worker | MSW005370 (Georgia) | Primary |
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