Kemp, Laura R

Kemp, Laura R is an individual health care provider with primary practice located at 139 Henry Pkwy , Mcdonough GA 30253-6636. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Kemp, Laura R can be contacted via phone (770) 358-5252.

Contact Information

Primary practice address
139 Henry Pkwy Mcdonough GA 30253-6636
Fax: (770) 229-3223
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1528303716
LBN Legal business name Kemp, Laura R
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2012
Last updated Nov 29th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528303716 NPPES
Georgia Other GRP2054 MEDICARE
Georgia MEDICAID 000601609G MEDICARE

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