Provider Demographics
NPI:1700523685
Name:CLAIBORNE, KAREN DENISE (BS, MPA)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:DENISE
Last Name:CLAIBORNE
Suffix:
Gender:F
Credentials:BS, MPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 WYNNES RIDGE CIR SE
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30067-6043
Mailing Address - Country:US
Mailing Address - Phone:404-438-5918
Mailing Address - Fax:
Practice Address - Street 1:1401 WYNNES RIDGE CIR SE
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30067-6043
Practice Address - Country:US
Practice Address - Phone:404-438-5918
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-12
Last Update Date:2022-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services