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Contact Information

KELLI SEVERIN
514 W MAPLE ST
SUITE 1206
CUMMING, GA30040
 Phone: 470-835-4871
 Fax: 770-844-7836
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for KELLI SEVERIN · (Female)

NPI # 1093203358
Status Active
Credentials
Entity Individual
Enumeration date 04/23/2018
Last updated 04/23/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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