Provider Demographics
NPI:1376299610
Name:KERR, BRIONA (LMSW)
Entity Type:Individual
Prefix:
First Name:BRIONA
Middle Name:
Last Name:KERR
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4508 RAVENWOOD DR
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:GA
Mailing Address - Zip Code:30291-6082
Mailing Address - Country:US
Mailing Address - Phone:404-539-7702
Mailing Address - Fax:
Practice Address - Street 1:4508 RAVENWOOD DR
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:GA
Practice Address - Zip Code:30291-6082
Practice Address - Country:US
Practice Address - Phone:404-539-7702
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-24
Last Update Date:2022-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker