| Millie S. Kelleher, Lcsw | |
|
1090 Founders Blvd Suite B Athens GA 30606-6163 | |
| (706) 548-8697 | |
| (706) 548-8698 |
| Full Name | Millie S. Kelleher, Lcsw |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1090 Founders Blvd, Athens, Georgia |
| Authorized Official Name and Position | Joseph Mason (BUSINESS MANAGER) |
| Authorized Official Contact | 7065488697 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Millie S. Kelleher, Lcsw 1090 Founders Blvd Suite B Athens GA 30606-6163 Ph: (706) 548-8697 | Millie S. Kelleher, Lcsw 1090 Founders Blvd Suite B Athens GA 30606-6163 Ph: (706) 548-8697 |
| NPI Number | 1104254598 |
|---|---|
| Provider Enumeration Date | 10/22/2013 |
| Last Update Date | 10/22/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104254598 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW002536 (Georgia) | Primary |
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